DR. COLE BRADFORD WILLOUGHBY (M.D.) – Dermatopathology Physician, NPI 1659375301

DR. COLE BRADFORD WILLOUGHBY (M.D.) is a healthcare provider. based in Chula vista, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. C36597 (CA). The NPI Number for DR. COLE BRADFORD WILLOUGHBY (M.D.) is 1659375301

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
DR. COLE BRADFORD WILLOUGHBY (M.D.)
NPI
1659375301
Phone
(619) 476-1200
Address
319 F ST
Enumeration Date
10 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1968 (58 years ago)
PAC ID
7315113263
Group Practice PAC ID
5395748669
Professional Enrollment ID
I20111227000696
Address ID
CA919102666CH319XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for DR. COLE BRADFORD WILLOUGHBY (M.D.)

  • 319, F Street, Chula Vista, San Diego County, California, 91910, United States

    STE 102

    CHULA VISTA, CA 919102666

    Phone: (619) 476-1200

    Fax: (619) 420-7849

    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 7 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($114).

Total Amount

$151

General + Research + Ownership

Payments

7

Total payment records

General Amount

$151

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

View all Open Payments →|Open Payments Risk Radar →

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: 2011-12-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111227000696IDermatologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
0394THigh dose rate electronic brachytherapy, external17970$0
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area17970$0
77600Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less14170$0
View full utilization report →

Insurance plans in this area (ZIP 91910)

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Provider's Procedures

DR. COLE BRADFORD WILLOUGHBY (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA11101Biopsy of each additional growth of skin and/or tissue2118
DERMATOLOGYCA17003Destruction of 2-14 skin growths693128

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395748669View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Physician AssistantCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
Radiation OncologyCA
Physician AssistantCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Does DR. COLE BRADFORD WILLOUGHBY (M.D.) have a public NPI I can cite?
Public records show DR. COLE BRADFORD WILLOUGHBY (M.D.) under NPI 1659375301.
Does the public listing show DR. COLE BRADFORD WILLOUGHBY (M.D.) as active?
DR. COLE BRADFORD WILLOUGHBY (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. COLE BRADFORD WILLOUGHBY (M.D.)'s specialty?
The extract shows Dermatopathology Physician for DR. COLE BRADFORD WILLOUGHBY (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. COLE BRADFORD WILLOUGHBY (M.D.)?
DR. COLE BRADFORD WILLOUGHBY (M.D.) is associated with Chula Vista, California in the same public data insurers reference.
Why is information missing for DR. COLE BRADFORD WILLOUGHBY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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