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Dr. Tomas Villanueva, DO
NPI1669565453PAC ID5193638450
- Medicare services, 2019
- 21
- Part D claims, 2024
- 116
- Publications
- 4
- MIPS score, 2024
- 99
- Hospital affiliations
- 1
- Practice address
- 13101 S Dixie Hwy, Pinecrest, FL 33156
- Practice phone
- Call (786) 662-7111
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Baptist Health Medical Group Physicians
Pinecrest, Florida
Find Dr. Villanueva's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Tomas Villanueva is an internist in Pinecrest, Florida
Dr. Villanueva practices at Baptist Health Medical Group Physicians in Pinecrest, Florida.
Dr. Villanueva's NPI, 1669565453, was assigned on October 2, 2006. Dr. Villanueva graduated from Dr. Kiran C. Patel College of Osteopathic Medicine in 1991. Dr. Villanueva holds Florida license OS0006373.
NPI and contact details
- NPI
- 1669565453NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5193638450
- NPI enumeration date
- October 2, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (786) 662-7111
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 61
- Medical school graduation
- 1991
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Tomas Villanueva practices at Baptist Health Medical Group Physicians in Pinecrest, Florida
Dr. Villanueva's primary practice is Baptist Health Medical Group Physicians, at 13101 S Dixie Hwy, Pinecrest, FL 33156 in Miami-Dade County. The practice phone is (786) 662-7111.
- Baptist Health Medical Group Physicians13101 S Dixie Hwy, Pinecrest, FL 33156 · Miami-Dade CountyPhone(786) 662-7111
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Tomas Villanueva is affiliated with 4 sites of care and 3 medical groups
Dr. Villanueva's primary practice is Baptist Health Medical Group Physicians in Pinecrest, Florida. Dr. Villanueva is also affiliated with Baptist Health Baptist Hospital. The medical group on file is Baptist Health Medical Group. Dmand AI also links Dr. Villanueva to 2 more group practices and clinics and 2 medical groups, each named with a free account.
Baptist Health Medical Group PhysiciansPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Tomas Villanueva's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Villanueva practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Baptist Health Medical Group Physicians | Available with a free account |
| +3 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
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Dr. Tomas Villanueva is one of 9,009 internists in Florida
Internal medicine is Dr. Villanueva's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Villanueva is board certified in internal medicine by the American Board of Internal Medicine. Dr. Villanueva is licensed in Florida.
Specialties and state licenses
- Internal medicine, FloridaPrimary
Clinical focus
Dmand AI lists adjustment disease, chronic diabetes, chronic hypertension, high cholesterol, obesity, overactive thyroid, tobacco use and underactive thyroid among the conditions Dr. Villanueva treats.
Internists near Dr. Villanueva
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
9,009internists in Florida
6internists in Pinecrest
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Tomas Villanueva billed Medicare for 21 services in 2019
CMS data shows 21 Medicare services from Dr. Villanueva across 1 procedure code in 2019, all of them office visits. Medicare paid $1,625 for them. Every service was in an office.
Medicare services, 201921
Paid by Medicare$1,625
Procedure codes1
Dr. Villanueva's Medicare services by type, 2018 to 2019
- 2018
- 2019
- Office and hospital visits
- 2018: 412019: 2149%
Dr. Villanueva compared with the Florida median for internists, 2019
- Dr. Villanueva
- Florida median
- Medicare services
- 21vs 55596% below
- Part D claims
- 34vs 46693% below
Medians across 8,488 internists in Florida with Dmand AI profiles that report each measure.
Dr. Villanueva's most billed Medicare procedure codes, 2019
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Villanueva?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Villanueva and other internists in Florida.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Tomas Villanueva's patients have a median age of 61
Across all payers, Dmand AI patient panel data puts Dr. Villanueva's median patient age at 61, with 52% women.
Dr. Villanueva's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 61
Patient panel by sex, all payers
- Women52%
- Men47%
Source: Dmand AI Patient Panel Data
Dr. Tomas Villanueva wrote 116 Medicare Part D claims in 2024
In 2024, Dr. Villanueva wrote 116 Medicare Part D claims for 16 patients. 92% of them were for generic drugs. CMS names the drug for 34 of them, across 2 drugs with 11 or more claims each, at $774 in total drug cost. In 2022, CMS named 72 claims across 5 drugs.
Part D claims, 2024116
Drugs named by CMS2
Total drug cost$774
Part D patients16
Dr. Villanueva's Part D claims by kind of drug, 2024
- Generic107 claims92%
- Brand-name and other9 claims8%
Dr. Villanueva's most prescribed drugs by claims, 2023
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2022 to 2023
- 2022
- 2023
- Claims for drugs CMS names
- 2022: 722023: 3453%
Drugs named by CMS: 2 in 2023, 5 in 2022.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Tomas Villanueva scored 99 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 99 out of 100 for Dr. Villanueva for performance year 2024, reported through an alternative payment model (APM). Dr. Villanueva accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Villanueva's MIPS scores, performance year 2024
- 99of 100Final score
- 81.9of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Tomas Villanueva has 4 publications on record
Dmand AI links 4 papers to Dr. Villanueva in 2017. Dr. Villanueva's most frequent co-authors are Paul A. Andrulonis, MD, Ricardo Caldeira Cury, MD and Alan Kenneth Jacobson, MD.
Papers4
Dr. Villanueva's most frequent co-authors
- Paul A. Andrulonis, MD1 shared paper
- Ricardo Caldeira Cury, MD1 shared paper
- Alan Kenneth Jacobson, MD1 shared paper
Recent publications by Dr. Villanueva
Am J Manag Care
AnticoagulantsAtrial FibrillationClinical Competence
See who Dr. Villanueva researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Villanueva works with, so you can find a warm path to the right internists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Tomas Villanueva received $148,508 in industry payments from 2016 to 2025
CMS Open Payments shows 221 general payments to Dr. Villanueva from 10 drug and device companies from 2016 to 2025. Speaker and faculty fees make up the largest share, 74% of the total. Novo Nordisk Inc paid the most, $98,891.
General payments to Dr. Villanueva by program year, 2016 to 2025
General payments to Dr. Villanueva by kind, 2016 to 2025
$148.5Kin total
- Speaker and faculty fees$109,40374%
- Travel and lodging$16,86311%
- Consulting fees$14,50010%
- Food and beverage$7,7435%
Companies that paid Dr. Villanueva the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Tomas Villanueva has 2 awards and honors on record
Dmand AI lists 2 awards for Dr. Villanueva.
Awards and honors for Dr. Villanueva
- Undated
- Fellow
- Senior Fellow
Source: Dmand AI Professional Profile Data
Dr. Tomas Villanueva graduated from Dr. Kiran C. Patel College of Osteopathic Medicine
Dr. Villanueva graduated from Dr. Kiran C. Patel College of Osteopathic Medicine in 1991. Dr. Villanueva is a member of SHM.
- Medical school
- Board certified in internal medicine
- Board certified in 1992 - 2026
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. Tomas Villanueva accepts plans from 10 insurance carriers
Dr. Villanueva is in network with 10 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 6. Check the plan with the practice before a visit.
- Aetna
- United Healthcare
- Blue Cross Blue Shield of Michigan
- Cigna
- Elevance
- Alliant Health Plans
- Aspirus Health Plan
- Blue Cross and Blue Shield of Kansas City
- +2 more carriersWith a free account
Plan types Dr. Villanueva accepts, by number of carriers
- HMO6
- PPO6
- Medicare4
- POS4
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Dr. Tomas Villanueva's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Tomas Villanueva
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Tomas Villanueva's NPI number?
Dr. Tomas Villanueva's NPI number is 1669565453. It was assigned on October 2, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Tomas Villanueva?
Dr. Tomas Villanueva is an internist in Pinecrest, Florida. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Tomas Villanueva practice?
Dr. Villanueva practices at 13101 S Dixie Hwy, Pinecrest, FL 33156. Dr. Villanueva's primary practice is Baptist Health Medical Group Physicians in Pinecrest, Florida. Dmand AI also links Dr. Villanueva to 2 group practices and clinics and 2 medical groups.
What is Dr. Tomas Villanueva's office phone number?
The practice phone on file for Dr. Villanueva is (786) 662-7111.
What is Dr. Tomas Villanueva's medical license number?
Dr. Villanueva holds Florida license OS0006373.
Which hospitals is Dr. Tomas Villanueva affiliated with?
Dr. Villanueva is affiliated with Baptist Health Baptist Hospital.
What medical group is Dr. Tomas Villanueva part of?
Dr. Villanueva is linked to Baptist Health Medical Group. Dmand AI links Dr. Villanueva to 2 more medical groups.
Does Dr. Tomas Villanueva accept Medicare?
Yes. CMS data shows Dr. Villanueva billed Medicare for 21 services in 2019, and Dr. Villanueva accepts Medicare assignment.
What is Dr. Tomas Villanueva's MIPS score?
Dr. Villanueva's MIPS final score for performance year 2024 is 99 out of 100, reported through an alternative payment model (APM).
Is Dr. Tomas Villanueva board certified?
Yes. Dr. Villanueva is board certified in internal medicine by the American Board of Internal Medicine.
Show 8 more questionsShow fewer questions
What services does Dr. Tomas Villanueva bill to Medicare?
In 2019, Dr. Villanueva's most billed Medicare services were office visit, established patient (99214).
Where did Dr. Tomas Villanueva go to medical school?
Dr. Villanueva graduated from Dr. Kiran C. Patel College of Osteopathic Medicine in 1991.
What drugs does Dr. Tomas Villanueva prescribe most?
In 2023 Medicare Part D data, Dr. Villanueva's most prescribed drugs by claims were Rosuvastatin Calcium and Nebivolol HCl.
Has Dr. Tomas Villanueva received payments from drug or device companies?
CMS Open Payments shows $148,508 in general payments to Dr. Villanueva from 10 companies from 2016 to 2025. The largest total came from Novo Nordisk Inc.
How long has Dr. Tomas Villanueva been practicing?
Dr. Villanueva graduated from medical school in 1991, 35 years ago.
Does Dr. Tomas Villanueva do research?
Dmand AI links 4 publications to Dr. Villanueva.
Who does Dr. Tomas Villanueva publish with?
Dr. Villanueva's most frequent co-authors are Paul A. Andrulonis, MD (1 shared paper), Ricardo Caldeira Cury, MD (1 shared paper) and Alan Kenneth Jacobson, MD (1 shared paper).
What insurance does Dr. Tomas Villanueva accept?
Dr. Villanueva is in network with 10 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 6. Check the plan with the practice before a visit.
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