SCOTT WILLIS (MD) – Emergency Medicine Physician, NPI 1679523997

SCOTT WILLIS (MD) is a healthcare provider. based in Fort lauderdale, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. E-12318 (AR). The NPI Number for SCOTT WILLIS (MD) is 1679523997

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT WILLIS (MD)
NPI
1679523997
Phone
(561) 213-3482
Address
417 SW 5TH ST
Enumeration Date
10 May 2006
Last Update Date
11 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7868990908
Graduation Year
1999 (27 years ago)
PAC ID
7618953555
Group Practice PAC ID
0345785598
Professional Enrollment ID
I20040629001439
Address ID
FL331444180MI8326XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for SCOTT WILLIS (MD)

  • 417 SW 5TH ST

    FORT LAUDERDALE, FL 333151015

    Phone: (561) 213-3482

    Type: Mailing

  • 5301 S CONGRESS AVE

    ATLANTIS, FL 334621149

    Phone: (561) 965-7300

    Type: Location

  • 4641, Northwest 27th Avenue, Boca Raton, Palm Beach County, Florida, 33434, United States

    BOCA RATON, FL 334345856

    Phone: (561) 306-3021

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$22
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: 2004-06-29

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
I20040629001439IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making200193$0
99284Emergency department visit with moderate level of medical decision making136135$0
99291Critical care, first 30-74 minutes5352$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3131$0
99283Emergency department visit with low level of medical decision making2828$0
View full utilization report →

Insurance plans in this area (ZIP 33315)

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Reviews

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Frequently asked questions

Can I verify SCOTT WILLIS (MD) with an NPI only?
You can start verification with NPI 1679523997 for SCOTT WILLIS (MD), then check state licensing separately.
Can I rely on SCOTT WILLIS (MD) being an active provider?
As of the registry snapshot, SCOTT WILLIS (MD) is marked active.
What is SCOTT WILLIS (MD) best known for clinically?
Directory data describes SCOTT WILLIS (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does SCOTT WILLIS (MD) serve?
SCOTT WILLIS (MD)'s listing highlights Fort Lauderdale, Florida; more addresses can appear in NPPES.
Is the information about SCOTT WILLIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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