Medicare Enrolled
Dr. Nicolas Villa Guillen, M.D.
Gastroenterology · Spokane, WA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Villa Guillen from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Villa Guillen
Dr. Nicolas Villa Guillen is a gastroenterology specialist in Spokane, WA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Villa Guillen performed 1,289 Medicare services across 1,231 unique beneficiaries.
Between the years covered by Open Payments, Dr. Villa Guillen received a total of $12,591 from 38 pharmaceutical and/or device companies across 209 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Villa Guillen is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years in practice
▲ Top 8% volume in WA
$12,591 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,289
Medicare services
Top 8% in WA for gastroenterology
1,231
Unique beneficiaries
$135
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~72 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
308 | $200 | $1,468 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
262 | $54 | $1,137 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
149 | $58 | $1,302 |
| Esophageal dilation with guide wire and endoscope A flexible endoscope is used to insert a guide wire into the esophagus, followed by dilation to widen the esophageal passage. |
107 | $108 | $1,181 |
| Radiologist review of bile duct tube placement imaging A radiologist reviews images taken during the placement of a tube into the bile duct using an endoscope. |
60 | $21 | $178 |
| Endoscopic removal of bile or pancreatic duct stone A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts. |
46 | $101 | $1,901 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
35 | $115 | $270 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
33 | $180 | $974 |
| Endoscopic ultrasound of esophagus, stomach, or upper small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope. |
32 | $167 | $1,017 |
| Upper endoscopy (EGD) A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope. |
30 | $86 | $939 |
| Endoscopic ultrasound-guided needle biopsy A procedure using an ultrasound-equipped endoscope to guide a needle for tissue sampling of the esophagus, stomach, or upper small bowel. |
30 | $193 | $1,587 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
30 | $137 | $725 |
| Pancreatic or bile duct stent insertion A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open. |
28 | $402 | $2,237 |
| Balloon dilation of pancreatic or bile duct A procedure using a flexible endoscope to widen a narrowed pancreatic or bile duct with a balloon. This helps restore the flow of digestive fluids. |
23 | $303 | $1,710 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
20 | $152 | $405 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
19 | $119 | $1,159 |
| Endoscopy of digestive tract Imaging of the digestive tract performed from the inside using an endoscope. |
18 | $626 | $4,316 |
| Endoscopic removal of esophagus, stomach, or small bowel polyps This procedure uses an endoscope and a mechanical snare to remove polyps or growths from the esophagus, stomach, or upper small bowel. |
17 | $118 | $1,401 |
| Endoscopic ultrasound of esophagus, stomach, or small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope inserted through the mouth. |
15 | $141 | $1,465 |
| Endoscopic control of upper GI bleeding A flexible endoscope is used to locate and stop bleeding in the esophagus, stomach, or upper small intestine. |
14 | $162 | $1,919 |
| Removal of large bowel tissue using flexible endoscope A procedure to remove tissue from the large intestine using a flexible tube with a camera. The endoscope allows the provider to access and excise the tissue directly. |
13 | $287 | $1,469 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
2.2% high complexity
50.3% medium
47.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,591
Total received (2018-2024)
Avg $1,799/year across 7 years
Top 9% in WA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
209
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,591 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,133
2023
$1,905
2022
$1,828
2021
$2,040
2020
$795
2019
$1,670
2018
$2,220
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$787
Cook Medical LLC
$549
Olympus America Inc.
$271
Braintree Laboratories, Inc.
$213
Janssen Scientific Affairs, LLC
$98
ABBVIE INC.
$42
Lilly USA, LLC
$42
Regeneron Healthcare Solutions, Inc.
$32
Takeda Pharmaceuticals U.S.A., Inc.
$26
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$25
Intercept Pharmaceuticals, Inc.
$17
Celgene Corporation
$16
Janssen Biotech, Inc.
$15
Top 3 companies account for 75.3% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$2,902
Cook Medical LLC
$2,687
Olympus America Inc.
$1,035
Ambu Inc.
$972
BOSTON SCIENTIFIC CORPORATION
$885
ERBE USA Inc
$552
Aries Pharmaceuticals, Inc.
$334
ABBVIE INC.
$323
CONMED Corporation
$267
Merck Sharp & Dohme Corporation
$250
Takeda Pharmaceuticals U.S.A., Inc.
$231
Mauna Kea Technologies, Inc.
$218
Braintree Laboratories, Inc.
$213
AbbVie, Inc.
$210
Regeneron Healthcare Solutions, Inc.
$198
Nevro Corp.
$152
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$143
Medtronic, Inc.
$111
Janssen Scientific Affairs, LLC
$98
Endogastric Solutions, Inc
$88
Nestle HealthCare Nutrition Inc.
$61
Janssen Biotech, Inc.
$56
US Endoscopy
$52
Cook Incorporated
$46
AbbVie Inc.
$46
UCB, Inc.
$43
Merck Sharp & Dohme LLC
$42
Amgen Inc.
$42
INTERCEPT PHARMACEUTICALS, INC.
$42
Lilly USA, LLC
$42
QOL Medical, LLC
$40
PFIZER INC.
$40
Daiichi Sankyo Inc.
$36
Intercept Pharmaceuticals, Inc.
$34
Allergan Inc.
$34
Ardelyx, Inc.
$25
Gilead Sciences, Inc.
$24
Celgene Corporation
$16
Top 3 companies account for 52.6% of all-time payments
Associated products mentioned in payments ›
APRISO · AVSOLA · AXIOS · Alliance II · Amitiza · Apollo ESG NXT System · Axios · CAPTIVATOR · CAPTIVATOR COLD · CAPTURA PRO · CONMED BILIARY · COOK MEDICAL 6 SHOOTER · COOK MEDICAL BILIARY · COOK MEDICAL HEMOSPRAY · COOK MEDICAL HEMOSTASIS · CRE PRO · CREON · Cimzia · Cook Medical AcuSnare · Cook Medical Biopsy - Non-Biliary · Cook Medical Captura Forceps · Cook Medical Endoscopic Ultrasound · Cook Medical Fusion · Cook Medical Hemospray · Cook Medical Hemostasis · Cook Medical Instinct · Cook Medical Metal Stents · Creon · DIFICID · DUPIXENT · ECHOTIP INSIGHT · ELEVIEW · ENTYVIO · ERBE · ESOPHYX · EVIS EXERA lll COLONOVIDEOSCOPE · EXALT · EXALT BX 4 · EXALT MODEL D CONTROLLER · EXALT Model D · EndoClot PHS · Entyvio · GATTEX · GENERAL THERAPIES · GENERAL THERAPIES · GENERAL - BILIARY DEVICES · GENERAL - THERAPIES · GENERAL BILIARY DEVICES · GENERAL THERAPIES · GI GENIUS · General - Hemostasis · HANAROSTENT Esophagus TTS(CCC) · HEMOSPRAY · Humira · IBSRELA · INJECTAFER · INSTINCT · Instinct · LINZESS · MAVYRET · Mavyret · OCALIVA · OMVOH · Olympus Biliary Devices · Olympus Hemostasis Devices · RESOLUTION CLIP · RINVOQ · SKYRIZI · SPYGLASS · STELARA · SUFLAVE · Senza · Single Use Biliary Stent V · Sucraid · VIBERZI · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA · gi4000 Electrosurgery Unit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for gastroenterology in WA.
Geographic Context
Gastroenterologists within 10 mi
34
Per 100K population
6.2
County median income
$73,513
Nearest hospital
SHRINERS HOSPITAL FOR CHILDREN
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Villa Guillen is a mixed practice specialist, with above-average Medicare volume (top 8% in WA), with low-engagement industry engagement in the top 9% of WA peers, with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Villa Guillen experienced with colon polyp removal with endoscopic snare?
Based on Medicare claims data, Dr. Villa Guillen performed 308 colon polyp removal with endoscopic snare services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Villa Guillen receive payments from pharmaceutical companies?
Yes. Dr. Villa Guillen received a total of $12,591 from 38 companies across 209 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Villa Guillen's costs compare to other gastroenterologists in Spokane?
Dr. Villa Guillen's average Medicare payment per service is $135. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Villa Guillen) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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