Doctor profile · Federal record

Dr. Mario Villalba, M.D.

Surgery Physician (CMS: General Surgery) · Royal Oak, MI

  • NPI 1285849190
  • Accepts Medicare
  • 22 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3535 W 13 Mile RD, Suite 501
Royal Oak, MI 480736770
(248) 288-1130

Credentials & registration

NPPES · NUCC
NPI registered
May 2007 — 19 yrs on file
Profile last updated
October 23, 2020
Year of graduation
2004 — 22 yrs since
Specialty taxonomy
208600000X — NUCC code
State license (1)
Michigan #4301084028

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1285849190. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
894
Distinct HCPCS
10
Medicare allowed
$109,912
HCPCS Description Services Patients Avg allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 291 107 $120
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 285 133 $81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 82 79 $133
99204 New patient office or other outpatient visit, 45-59 minutes 58 58 $165
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 50 50 $174
99214 Established patient office or other outpatient visit, 30-39 minutes 42 37 $126
99291 Critical care, first 30-74 minutes 22 13 $219
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 20 20 $162
99213 Established patient office or other outpatient visit, 20-29 minutes 16 13 $91
99203 New patient office or other outpatient visit, 30-44 minutes 15 15 $115

In context: peer comparison

Among 10 peers in Royal Oak Surgery Physician, average services per provider: 50. This provider delivers 18× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
47
Patients
28
Total drug cost
$32,214
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 31 28 $94
Creon (Lipase/Protease/Amylase) Brand 16 0 $32,120

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Mario Villalba's medical specialty?
Dr. Mario Villalba practices Surgery Physician in Royal Oak, MI.
Where does Dr. Mario Villalba practice?
Dr. Mario Villalba practices at 3535 W 13 Mile RD, Royal Oak, MI 480736770. Office phone: 2482881130.
What is Dr. Mario Villalba's NPI?
Dr. Mario Villalba's National Provider Identifier (NPI) is 1285849190, issued by NPPES.
Does Dr. Mario Villalba accept Medicare assignment?
Yes. Dr. Mario Villalba accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mario Villalba commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.