Pedro Rafael Villanueva, MD
Internal Medicine Physician · Williamsburg, VA
Pedro Rafael Villanueva, MD is an internal medicine physician with a practice address in Williamsburg, Virginia, and NPI 1609986942, issued on Aug 30, 2006. Check the license (Virginia 0101049988, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Pedro Rafael Villanueva
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 0101049988 VA
Self-reported in NPPES; status is on the state search - Practice location
- 7364 Richmond RD, Williamsburg, VA 23188
- Phone
- (757) 345-0011
- Enumerated
- Aug 30, 2006
- Record last updated
- Jan 25, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (757) 534-0381
- Medicaid ID
- 6017380 VA
- Medicare enrollment
- Enrolled (PECOS I20171020002241); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 3,599 in Virginia → Look up another NPI →
Also registered at 7364 Richmond RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Pedro Rafael Villanueva in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101049988Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
36% more Medicare Part D claims than the average internal medicine physician in 2024
4,321 Medicare Part D claims for 508 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 11 claims were for opioids.
Most prescribed
- Atorvastatin Calcium351 claims
- Amlodipine Besylate291 claims
- Lisinopril172 claims
- Metformin Hcl166 claims
- Losartan Potassium152 claims
- Levothyroxine Sodium138 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Riverside Physician Services IncNewport News, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pedro Rafael Villanueva among 3,599 internal medicine physician records in Virginia
Pedro Rafael Villanueva, MD is one of 3,599 internal medicine physician records with a practice address in Virginia. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.
- NPI issued2006 · 9% of these records are older, 55% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1975 · median 2003 among the 2,234 with a school on file
- Record last updated2018 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
40 internal medicine physician records list a practice address in Williamsburg
They are 40 of the 1,707 NPPES records with a practice address in Williamsburg, and 3,599 internal medicine physician records in Virginia.
All 3,599 in Virginia → Every provider in Williamsburg → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
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- Sanford Marcuson, M.D.Williamsburg, VA 231881710952676
- Patricia Marcuson, M.D.Williamsburg, VA 231881609841485
- Lisa Merrill, M.D.Williamsburg, VA 231881235109653
- Julia Myers, MDWilliamsburg, VA 231881932150489
Common questions
What is Pedro Rafael Villanueva, MD's NPI number?
Pedro Rafael Villanueva, MD's National Provider Identifier (NPI) is 1609986942, issued on Aug 30, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Pedro Rafael Villanueva, MD located?
The NPPES record lists a practice address at 7364 Richmond RD, Williamsburg, VA, 23188. Phone: (757) 345-0011. Providers update this record themselves, so call before visiting.
How can I verify Pedro Rafael Villanueva, MD's license?
NPPES lists Virginia license number 0101049988, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pedro Rafael Villanueva, MD prescribe under Medicare Part D?
In 2024, Pedro Rafael Villanueva, MD had 4,321 Medicare Part D claims for 508 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Pedro Rafael Villanueva, MD's MIPS final score?
The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.