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Gavin Villacorta, CRNP

NPI 1093411688ActiveIndividual· Nurse Practitioner· Philadelphia, PA

Nurse Practitioner (CRNP) with University of Penn - Medical Group, practicing in Philadelphia, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $91,159 for 619 claims, against $50,761 paid for services in 2024. Boston Scientific Corporation reported $1,429 in payments in 2024, mostly travel and lodging. Lists Chester County Hospital and 3 other hospitals as hospital affiliations.

Overview

NPI1093411688
StatusActive
Entity typeIndividual
CredentialCRNP
Sole proprietorNo
NPI issuedFeb 6, 2023
Last updated in NPPESFeb 6, 2023
Certified by providerFeb 4, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XSP027036PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients373
Services billed1,007 across 6 procedure codes
Paid by Medicare$50,761

Part D prescriptions in 2024

Prescriptions (claims)619 · 1,212 30-day fills
Patients212
Total drug cost$91,159
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$1,429 · 5 payments from 1 company

Top paying companies in 2024

CompanyAmountPayments
Boston Scientific Corporation$1,4295

What the 2024 payments were for

  • Travel and Lodging$1,100 · 2 payments
  • Food and Beverage$329.80 · 3 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Philadelphia

All 554 nurse practitioners in Philadelphia · All nurse practitioners in Pennsylvania