Gonzalo Rafael De Villa, M.D.
NPI 1053845545ActiveIndividual· Family Medicine· Clinton, TN
Family Medicine (M.D.) with Covenant Medical Group Inc, practicing in Clinton, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $531,685 for 7,063 claims, against $31,315 paid for services in 2024. Lists Methodist Medical Center of Oak Ridge as a hospital affiliation.
Overview
| NPI | 1053845545 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 12, 2017 |
| Last updated in NPPES | Apr 27, 2021 |
| Certified by provider | Apr 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 61482 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 1,008 across 80 procedure codes |
| Paid by Medicare | $31,315 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,063 · 15,479 30-day fills |
|---|---|
| Patients | 573 |
| Total drug cost | $531,685 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Covenant Medical Group IncKnoxville, TN · 365 clinicians
Hospital affiliation
- Methodist Medical Center of Oak RidgeOak Ridge, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in Clinton
- 1134158702
- 1326021981
- 1396288650
- 1396743571
- 1578128666
- 1013990654
- 1083062517
- 1104484823
- 1588651327
- 1861476152
- 1083703003
- 1306834122
All 24 family medicine physicians in Clinton · All family medicine physicians in Tennessee