DR. WILLIS TYLER NICHOLS (M.D.) – Surgery Physician, NPI 1063722684
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
522 GENERAL SURGERY in AL
Provider Addresses for DR. WILLIS TYLER NICHOLS (M.D.)
1711 N MCKENZIE ST STE 201
FOLEY, AL 365352282
Phone: (251) 949-3479
Fax: (251) 949-3434
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $2,249.
Total Amount is formed as General ($2,249) + Research ($0) + Ownership ($0) = $2,249.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,953).
Total Amount
$2,249
General + Research + Ownership
Payments
12
Total payment records
General Amount
$2,249
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,953 |
| Ethicon US, LLC | $125 |
| Davol Inc. | $116 |
| TELA Bio, Inc. | $32 |
| Smith+Nephew, Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150610001102 | I | General Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 22 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 36535)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| N E U R O L O G Y | AL | |
| - | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | AL |
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