Carmen Villabona, M.D.
NPI 1558432997 · Endocrinology, Diabetes & Metabolism Physician · Miami, FL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmen Villabona, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Miami, FL (NPI 1558432997).
Provider details
- NPI number
- 1558432997
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- ME101645 (FL)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
381 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 154 | $109 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 81 | $151 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $102 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 27 | $153 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 22 | $83 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 293 | 87 |
| Levothyroxine Sodiumbrand: Synthroid | 113 | 36 |
| Hydrocortisone | 104 | 21 |
| Semaglutidebrand: Ozempic | 67 | 15 |
| Metformin Hcl | 46 | 13 |
| Cabergoline | 44 | — |
| Tirzepatide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$50 across 1 record (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
Additional practice locations (2)
- 1450 Nw 10th AveMiami, FL 33136-1011Phone: (305) 243-3636Fax: (305) 243-6575
- 8100 Sw 10th StPlantation, FL 33324-3279Phone: (305) 243-3636Fax: (305) 243-6575
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Frequently asked questions
- What is Carmen Villabona's NPI number?
- Carmen Villabona's National Provider Identifier (NPI) is 1558432997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmen Villabona's specialty?
- Carmen Villabona is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Carmen Villabona located?
- Carmen Villabona's practice location on file with NPPES is 1475 Nw 12th Ave, Miami, FL 33136-1002.
- What is Carmen Villabona's phone number?
- The practice phone number listed in the NPPES registry for Carmen Villabona is (305) 243-3636.
- Does Carmen Villabona accept Medicare?
- Carmen Villabona is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmen Villabona's NPI active?
- Yes — Carmen Villabona's NPI (1558432997) is active in the NPPES registry as of the last update on 2024-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.