DR. ROBERT A WILLIS (MD) – Otolaryngology Physician, NPI 1225033434

DR. ROBERT A WILLIS (MD) is a healthcare provider. based in Carbondale, Illinois. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 86684 (SC). The NPI Number for DR. ROBERT A WILLIS (MD) is 1225033434

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT A WILLIS (MD)
NPI
1225033434
Phone
(618) 549-5361
Address
2601 W Main St
Enumeration Date
15 June 2005
Last Update Date
16 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9078425201
Graduation Year
1983 (43 years ago)
PAC ID
5991705618
Group Practice PAC ID
5890699920
Professional Enrollment ID
I20230615000138
Address ID
AK995760130DIPOXXXBOXX218

Contacts

Secure Messaging
rwillis66760@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness95
Years active:20State licenses:6Other names

488 OTOLARYNGOLOGY in IL

Provider Addresses for DR. ROBERT A WILLIS (MD)

  • 2601 W Main St

    Carbondale, IL 629011031

    Phone: (618) 549-5361

    Fax: (618) 351-4878

    Type: Location

  • 800, Hospital Drive, Madisonville, Hopkins County, Kentucky, 42431, United States

    MADISONVILLE, KY 424311658

    Phone: (270) 326-4800

    Fax: (270) 326-4820

    Type: Location

  • 590, Hartsville Pike, Gallatin, Sumner County, Tennessee, 37066, United States

    SUITE 1

    GALLATIN, TN 370663089

    Phone: (615) 452-0048

    Fax: (615) 452-0616

    Type: Mailing

  • 146 E Hospital Dr Ste 200

    West Columbia, SC 291694800

    Phone: (803) 936-7530

    Fax: (803) 936-7532

    Type: Location

  • 1034 GOLF CLUB CIR W

    HENDERSONVILLE, TN 370758890

    Phone: (615) 347-7121

    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 $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Medtronic, Inc. ($94).

Total Amount

$94

General + Research + Ownership

Payments

1

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$94
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: 2023-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20090519000449IOtolaryngologyTNTBD
I20221123002019IOtolaryngologyILTBD
I20230615000138IOtolaryngologyTXTBD

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 minutes7057$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
31575Diagnostic exam of voice box using a flexible endoscope3230$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1511$0
69210Removal of impacted ear wax1312$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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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: 5890699920View full group profile
NameSpecialtyState
Diagnostic RadiologyNC
-WA
-UT
Emergency MedicineAZ
Physician AssistantND
Physician AssistantMN
Family Practice, Internal MedicineUT
Diagnostic RadiologyAK
O P T O M E T R YOR
Family PracticeAK

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Frequently asked questions

Is there an official ID for DR. ROBERT A WILLIS (MD) in U.S. healthcare records?
The official identifier for DR. ROBERT A WILLIS (MD) is NPI 1225033434.
Is DR. ROBERT A WILLIS (MD) shown as active in public data?
Registry records indicate DR. ROBERT A WILLIS (MD) maintains an active NPI.
What area of care is associated with DR. ROBERT A WILLIS (MD)?
DR. ROBERT A WILLIS (MD)'s record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ROBERT A WILLIS (MD)?
Directory geography for DR. ROBERT A WILLIS (MD) centers on Carbondale, Illinois.
Can I trust this NPI listing for DR. ROBERT A WILLIS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.