DR. MARK L WILLIS (MD) – Interventional Pain Medicine Physician, NPI 1740269612
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
131 PAIN MANAGEMENT in AL
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Provider Addresses for DR. MARK L WILLIS (MD)
Southeast Health Campus, 1108, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States
SOUTHEAST PAIN MGMT CENTER
DOTHAN, AL 36301
Phone: (334) 793-8196
Fax: (334) 699-4757
Type: Mailing
208, Haven Drive, Dothan, Houston County, Alabama, 36301, United States
SOUTHEAST PAIN MGMT CENTER
DOTHAN, AL 363012909
Phone: (334) 793-8196
Fax: (334) 699-4757
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: SCILEX PHARMACEUTICALS INC. ($70).
Total Amount
$105
General + Research + Ownership
Payments
6
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SCILEX PHARMACEUTICALS INC. | $70 |
| VERTEX PHARMACEUTICALS INCORPORATED | $18 |
| Almatica Pharma LLC | $16 |
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: 2004-06-02
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 |
|---|---|---|---|---|
| I20040602001251 | I | Pain Management | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,133 | 389 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 141 | 115 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 80 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 88 | 74 | $0 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 87 | 76 | $0 |
Insurance plans in this area (ZIP 36301)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | AL | |
| Emergency Medicine | MI | |
| - | AL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Internal Medicine | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| U R O L O G Y | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Critical Care (Intensivists) | AL |
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