JOHN M WILLETT (MD) – Otolaryngology Physician, NPI 1295749752

JOHN M WILLETT (MD) is a healthcare provider. based in New haven, Connecticut. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 031736 (CT). The NPI Number for JOHN M WILLETT (MD) is 1295749752

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M WILLETT (MD)
NPI
1295749752
Phone
(203) 624-2689
Address
1 LONG WHARF DR
Enumeration Date
28 July 2006
Last Update Date
2 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032883288
Graduation Year
1977 (49 years ago)
PAC ID
2163581760
Group Practice PAC ID
3971655325
Professional Enrollment ID
I20081124000168
Address ID
CT065183026HA299XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

159 OTOLARYNGOLOGY in CT

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Provider Addresses for JOHN M WILLETT (MD)

  • 1, Long Wharf Drive, Long Wharf, City Point, New Haven, New Haven County, Connecticut, 06519, United States

    SUITE 302

    NEW HAVEN, CT 065115991

    Phone: (203) 624-2689

    Fax: (203) 776-7741

    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 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($77).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$77
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: 2008-11-24

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
I20081124000168IOtolaryngologyCTTBD

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 minutes620385$0
92567Test to assess middle ear function175166$0
92557Comprehensive hearing and speech recognition test173165$0
99212Established patient office or other outpatient visit, 10-19 minutes172128$0
99203New patient office or other outpatient visit, 30-44 minutes148148$0
View full utilization report →

Insurance plans in this area (ZIP 06511)

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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: 3971655325View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YCT
Physician AssistantCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
-CT
O T O L A R Y N G O L O G YCT
Physician AssistantCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT

Reviews

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Frequently asked questions

Can I cross-check JOHN M WILLETT (MD) using NPI 1295749752?
NPI 1295749752 belongs to JOHN M WILLETT (MD); compare other details if you need extra assurance.
Active or inactive — what applies to JOHN M WILLETT (MD)?
You should see JOHN M WILLETT (MD) as active in CMS-hosted NPPES data.
What area of care is associated with JOHN M WILLETT (MD)?
JOHN M WILLETT (MD)'s record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is JOHN M WILLETT (MD) associated with New Haven?
Public fields place JOHN M WILLETT (MD) around New Haven, Connecticut. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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