Jaime Villarreal, M.D.
NPI 1427316132 · Orthopaedic Surgery of the Spine Physician · Edinburg, TX
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaime Villarreal, M.D. is a Orthopaedic Surgery of the Spine Physician provider in Edinburg, TX (NPI 1427316132).
Provider details
- NPI number
- 1427316132
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- BP10043277 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
221 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 93 | $61 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 48 | $10 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 39 | $126 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $92 |
| X-Ray of Upper Spine, 2-3 Views72040 | 14 | $10 |
Typical Medicare-allowed amounts for these services range $10–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 247 | 124 |
| Pregabalin | 126 | 58 |
| Baclofen | 66 | 32 |
| Diclofenac Potassium | 63 | 34 |
| Cyclobenzaprine Hcl | 58 | 31 |
| Methylprednisolone | 34 | 27 |
| Abaloparatidebrand: Tymlos | 31 | — |
| Diclofenac Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$394 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2018-08-09
Frequently asked questions
- What is Jaime Villarreal's NPI number?
- Jaime Villarreal's National Provider Identifier (NPI) is 1427316132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaime Villarreal's specialty?
- Jaime Villarreal is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery of the Spine Physician (Allopathic & Osteopathic Physicians).
- Where is Jaime Villarreal located?
- Jaime Villarreal's practice location on file with NPPES is 5540 Raphael Dr, Edinburg, TX 78539.
- What is Jaime Villarreal's phone number?
- The practice phone number listed in the NPPES registry for Jaime Villarreal is (956) 362-6683.
- Does Jaime Villarreal accept Medicare?
- Jaime Villarreal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaime Villarreal's NPI active?
- Yes — Jaime Villarreal's NPI (1427316132) is active in the NPPES registry as of the last update on 2018-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.