JOHN WILLIS EVANS (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1194163378

JOHN WILLIS EVANS (D.O.) is a healthcare provider. based in Fort carson, Colorado. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials D.O.. They hold a License No. 68068 (MN). The NPI Number for JOHN WILLIS EVANS (D.O.) is 1194163378

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JOHN WILLIS EVANS (D.O.)
NPI
1194163378
Phone
Not provided
Address
1650 COCHRANE CIR # 7500
Enumeration Date
10 June 2013
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
7704248222
Graduation Year
2013 (13 years ago)
PAC ID
7618394560
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20230724002937
Address ID
GA301527742KE5150XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for JOHN WILLIS EVANS (D.O.)

  • 1650 COCHRANE CIR # 7500

    FORT CARSON, CO 809134613

    Phone:

    Type: Mailing

  • 1120 15TH ST # OR6000

    AUGUSTA, GA 309120004

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $173.

Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: HydroCision, Inc. ($114).

Total Amount

$173

General + Research + Ownership

Payments

3

Total payment records

General Amount

$173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2023-07-24

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
I20230724002937IFamily PracticeGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2424$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 80913)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is the registry number for JOHN WILLIS EVANS (D.O.)?
The registry entry for JOHN WILLIS EVANS (D.O.) shows NPI 1194163378.
Should I treat JOHN WILLIS EVANS (D.O.) as an active provider?
Patients and plans typically see JOHN WILLIS EVANS (D.O.) as active in the national extract.
What services align with JOHN WILLIS EVANS (D.O.)'s listing?
JOHN WILLIS EVANS (D.O.)'s public classification highlights Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN WILLIS EVANS (D.O.)?
JOHN WILLIS EVANS (D.O.) is associated with Fort Carson, Colorado in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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