DR. MICHAEL R VILLANUEVA (PSYD) – Clinical Neuropsychologist, NPI 1063522860
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
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Provider Addresses for DR. MICHAEL R VILLANUEVA (PSYD)
Southern Oregon Neuropsychological Clinic, 837, Alder Creek Drive, Alder Creek Office Park, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975048911
Phone: (541) 608-3878
Fax: (541) 608-3880
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2013-05-14
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 |
|---|---|---|---|---|
| I20130514000768 | I | Clinical Psychologist | OR | 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 |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 1,066 | 192 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 249 | 239 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 221 | 201 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 212 | 212 | $0 |
| 96121 | Exam of neurobehavioral status, each additional hour | 210 | 210 | $0 |
Insurance plans in this area (ZIP 97504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | KS | |
| Clinical Psychologist | CA | |
| - | OR |
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