Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124399449 Individual Practitioner Male Practitioner

Dr. Diego Cole Villacis , MD

Orthopaedic Surgery • Summit, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Diego Villacis, MD is a certified Orthopaedic Surgery practicing in Summit, WI. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Villacis delivers high-quality medical care to the local community at 36500 AURORA DR.

Dr. Villacis is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Fax 2624345050
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Summit, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs Matches City Avg
City Avg: 16.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Summit, WI (688 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Villacis (16 Years) 16 Yrs
Summit Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
4,681 48 $0.30 $0.13
99213 Established patient office or other outpatient visit, typically 15 minutes
242 162 $350.00 $84.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
133 107 $515.00 $118.21
20610 Aspiration and/or injection of fluid from large joint
77 63 $638.96 $61.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
62 62 $510.00 $101.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
36 36 $755.00 $153.30
23472 Prosthetic repair of shoulder joint, total shoulder
29 29 $18690.00 $1296.29
J1040 Injection, methylprednisolone acetate, 80 mg
20 19 $35.00 $9.66
29827 Repair of shoulder rotator cuff using an endoscope
20 19 $12120.00 $952.20
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope
19 18 $2190.00 $149.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 13 $240.00 $52.87
29828 Release of shoulder biceps tendon using an endoscope
12 12 $10490.00 $402.19

Medical Specialties & State Licenses

CMS Verified: 2024-07-17
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 75491

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IL 036139529

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License IL 036139529

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100174818 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

W180n11070 River Ln, Germantown, WI 530223109

Phone: 2625329700

Secondary Practice Locations

920 Milwaukee Ave

Lincolnshire, IL 600693839

Phone: 8478667846

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address July 17, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2021

Orthopaedic Surgery (License #036139529 in IL)

📍
Updated Practice Location August 31, 2021

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Business Mailing Address August 31, 2021

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 2624341000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Orthopaedic Surgery (License #75491 in WI)

📍
Updated Practice Location October 29, 2018

Registered at 920 MILWAUKEE AVE, LINCOLNSHIRE, IL 600693839 (Tel: 8478667846)

📍
Updated Business Mailing Address October 29, 2018

Registered at 920 MILWAUKEE AVE, LINCOLNSHIRE, IL 600693839 (Tel: 8478667846)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2018

Orthopaedic Surgery (License #036139529 in IL)

NPI Profile Active January 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2012

Registered at 1200 NORTH STATE STREET, GNH 0, LOS ANGELES, CA 90033 (Tel: 3232267346)

📍
Updated Business Mailing Address January 18, 2012

Registered at 1200 N STATE ST, GNH 3900, LOS ANGELES, CA 900331029 (Tel: 3232267346)

👤
Provider Name / Credentials Updated January 18, 2012

Recorded as DIEGO VILLACIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2012

Orthopaedic Surgery (License #A118463 in CA)

🟢
Initial NPI Registration & Enumeration January 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124399449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2012
Last Update: July 17, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.