DR. KAYELLEN W WILLOUGHBY (M.D.) – Specialist, NPI 1386678118
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
522 GENERAL SURGERY in AL
Provider Addresses for DR. KAYELLEN W WILLOUGHBY (M.D.)
1325 HIGHLAND LAKES TRL
BIRMINGHAM, AL 352426855
Phone: (205) 408-2522
Fax: (205) 980-1334
Type: Mailing
1325 Highland Lakes Trl
Birmingham, AL 352426855
Phone: (205) 408-2522
Fax: (205) 980-1334
Type: Location
4600 HIGHWAY 280
BIRMINGHAM, AL 352425185
Phone: (205) 408-1231
Fax: (205) 408-1229
Type: Mailing
4600 HIGHWAY 280 STE 100
BIRMINGHAM, AL 352425185
Phone: (205) 408-1231
Fax: (205) 408-1229
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,400.
Total Amount is formed as General ($1,400) + Research ($0) + Ownership ($0) = $1,400.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Lilly USA, LLC ($285).
Total Amount
$1,400
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $285 |
| Paratek Pharmaceuticals, Inc. | $282 |
| AstraZeneca Pharmaceuticals LP | $190 |
| ABBVIE INC. | $181 |
| PFIZER INC. | $134 |
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: 2007-09-05
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 |
|---|---|---|---|---|
| I20070905000178 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 630 | 59 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 167 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 145 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 136 | 120 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 110 | 89 | $0 |
Insurance plans in this area (ZIP 35242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Family Practice, Emergency Medicine, Family Practice | AL | |
| Interventional Pain Management, Nuclear Medicine, Diagnostic Radiology | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| Family Practice | TN | |
| Family Practice, Diagnostic Radiology | AL | |
| Family Practice | OH | |
| - | AL |
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