Skip to content

Theodore R. Villavicencio, MD

NPI 1366496366ActiveIndividual· Family Medicine· Conifer, CO

Family Medicine (MD) in Conifer, Colorado, trained at University of Colorado School of Medicine, Denver (class of 1990). Mostly services rather than prescriptions: Medicare paid $1,282 for 11 patients in 2024, with only 44 Part D claims.

Overview

NPI1366496366
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMay 22, 2006
Last updated in NPPESNov 9, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X31320CO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (CO)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients11
Services billed27 across 12 procedure codes
Paid by Medicare$1,282

Part D prescriptions in 2024

Prescriptions (claims)44 · 48 30-day fills
Patients25
Total drug cost$384.70
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Colorado School of Medicine, Denver
Graduation year1990
Medicare specialtyFamily Practice

Medical group

Source: CMS Care Compare

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 providers in Conifer

All Family Medicine providers in Colorado →