DR. MARK WILLIS (M.D.) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1649423617

DR. MARK WILLIS (M.D.) is a healthcare provider. based in Aurora, Colorado. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 51080 (CO). The NPI Number for DR. MARK WILLIS (M.D.) is 1649423617

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK WILLIS (M.D.)
NPI
1649423617
Phone
(720) 848-0000
Address
12605 E 16th Ave
Enumeration Date
3 November 2008
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
7205161100
Graduation Year
2007 (19 years ago)
PAC ID
4486800299
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20120810000209
Address ID
CO801296688HI1500XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

227 OTOLARYNGOLOGY in CO

Provider Addresses for DR. MARK WILLIS (M.D.)

  • 12605 E 16th Ave

    Aurora, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 1500 PARK CENTRAL DR

    HIGHLANDS RANCH, CO 801296688

    Phone: (720) 848-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($24).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2012-08-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120810000209IOtolaryngologyCOTBD

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 minutes133104$0
99204New patient office or other outpatient visit, 45-59 minutes112112$0
99203New patient office or other outpatient visit, 30-44 minutes8888$0
99214Established patient office or other outpatient visit, 30-39 minutes8674$0
31231Diagnostic exam of nasal passages using an endoscope6859$0
View full utilization report →

Insurance plans in this area (ZIP 80045)

Loading plans...

Provider's Procedures

DR. MARK WILLIS (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYCO92567Eardrum testing using ear probe11594

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: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. MARK WILLIS (M.D.) by NPI?
Use NPI 1649423617 when you need to reference DR. MARK WILLIS (M.D.) in forms, claims, or directories.
Is DR. MARK WILLIS (M.D.) currently active in the NPI registry?
CMS-published data lists DR. MARK WILLIS (M.D.) as an active registrant.
What kind of provider is DR. MARK WILLIS (M.D.)?
The page reflects Plastic Surgery within the Head & Neck (Otolaryngology) Physician for DR. MARK WILLIS (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK WILLIS (M.D.)?
The snapshot lists Aurora, Colorado for DR. MARK WILLIS (M.D.); download NPPES for the complete set.
How can I contact DR. MARK WILLIS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

Children's Hospital Colorado Emergency Department (ED), 13123, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States
NPI: 1285606764

JOHN CAMPANA (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
1500 PARK CENTRAL DR STE 501
NPI: 1740373190

DR. RYAN ANDREW GAINES (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
12605 E 16th Ave
NPI: 1295898187

DR. LAWRENCE A GORDON (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
2500 S HAVANA ST
NPI: 1952445587

DR. GARY L MCDONALD (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
2500 S HAVANA ST
NPI: 1720115777

JULIE GODDARD (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
1635 AURORA CT
NPI: 1700014875

JAMESON KYLE MATTINGLY (M.D.)

Otology & Neurotology Physician
7500 AUTUMN POINTE DR
NPI: 1255697975

CARISSA THOMAS (MD)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
PO BOX 55310
NPI: 1306289103

BRIAN CERVENKA (M.D.)

Otolaryngology Physician
2830 VICTORY PARKWAY
NPI: 1710327358