ALAN THOMAS VILLAVICENCIO (MD) – Neurological Surgery Physician, NPI 1720033939
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
187 NEUROSURGERY in CO
Provider Addresses for ALAN THOMAS VILLAVICENCIO (MD)
4743 Arapahoe Ave
Suite 202
Boulder, CO 803031113
Phone: (303) 938-5700
Fax: (303) 998-0007
Type: Location
2030 MOUNTAIN VIEW AVE STE 210
LONGMONT, CO 805013180
Phone: (303) 485-3560
Fax: (303) 485-3561
Type: Location
PO BOX 9049
BOULDER, CO 803019049
Phone: (303) 938-5700
Fax: (303) 998-0007
Type: Mailing
Anderson Medical Center, 4743, Arapahoe Avenue, Boulder, Boulder County, Colorado, 80303-1229, United States
SUITE 202
BOULDER, CO 803031113
Phone: (303) 938-5700
Fax: (303) 998-0007
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $304.
Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.
Last reported payment date: 2023-09-28 • Largest payer in this snapshot: Medtronic, Inc. ($204).
Total Amount
$304
General + Research + Ownership
Payments
8
Total payment records
General Amount
$304
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $204 |
| DePuy Synthes Sales Inc. | $76 |
| Augmedics Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091118000376 | I | Neurosurgery | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 83 | 39 | $0 |
| 22614 | Fusion of additional segment of spine | 71 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 39 | 39 | $0 |
| 22634 | Fusion of additional segment of spine with partial removal of spine bone and disc | 38 | 21 | $0 |
Insurance plans in this area (ZIP 80303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROSURGERY | CO | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 29 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| - | NY | |
| Nurse Practitioner | MI | |
| Family Practice | TX | |
| Physician Assistant | NC | |
| Internal Medicine, Geriatric Medicine | NC | |
| Qualified Speech Language Pathologist | OK | |
| Occupational Therapist In Private Practice | NC | |
| Internal Medicine | NC | |
| Internal Medicine | NC |
Reviews
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