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Louie Chelle Bacaltos Villamor

NPI 1497330476ActiveIndividual· Physician Assistant· Maplewood, MN

Physician Assistant with Group Health Inc, practicing in Maplewood, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $118,201 for 1,060 claims, against $24,701 paid for services in 2024. Lists Regions Hospital as a hospital affiliation.

Overview

NPI1497330476
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 11, 2021
Last updated in NPPESSep 12, 2022
Certified by providerSep 12, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X14164MN

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 - Physician Assistant (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients118
Services billed507 across 57 procedure codes
Paid by Medicare$24,701

Part D prescriptions in 2024

Prescriptions (claims)1,060 · 2,387 30-day fills
Patients192
Total drug cost$118,201
Generic share87% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliation

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 physician assistants in Maplewood

All 60 physician assistants in Maplewood · All physician assistants in Minnesota