DR. MICHAEL C WILLOUGHBY (D.O.) – Cardiovascular Disease Physician, NPI 1457589582

DR. MICHAEL C WILLOUGHBY (D.O.) is a healthcare provider. based in Palos heights, Illinois. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials D.O.. They hold a License No. 5101018254 (MI). The NPI Number for DR. MICHAEL C WILLOUGHBY (D.O.) is 1457589582

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL C WILLOUGHBY (D.O.)
NPI
1457589582
Phone
(708) 923-4200
Address
12251 S 80th Ave Ste 1520
Enumeration Date
27 June 2009
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2486259099
Graduation Year
2009 (17 years ago)
PAC ID
8123253598
Group Practice PAC ID
3971416082
Professional Enrollment ID
I20131021001859
Address ID
MI483271970WA5210XRDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:16State licenses:2Digital endpointsOther names

214 CARDIAC ELECTROPHYSIOLOGY in IL

Provider Addresses for DR. MICHAEL C WILLOUGHBY (D.O.)

  • 12251 S 80th Ave Ste 1520

    Palos Heights, IL 604631290

    Phone: (708) 923-4200

    Fax: (708) 923-4201

    Type: Location

  • McLaren Macomb, 1000, Harrington Street, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States

    MOUNT CLEMENS, MI 480432920

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $4,252.

Total Amount is formed as General ($4,252) + Research ($0) + Ownership ($0) = $4,252.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medtronic, Inc. ($3,018).

Total Amount

$4,252

General + Research + Ownership

Payments

44

Total payment records

General Amount

$4,252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

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: 2016-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20131021001859ICardiac ElectrophysiologyMITBD
I20160128000948ICardiac ElectrophysiologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes255161$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only218146$0
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days9516$0
93297Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days9115$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7569$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

Loading plans...

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: 3971416082View full group profile
NameSpecialtyState
Internal MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Family PracticeMI
Emergency MedicineIL
-GA
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
-MI

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

What is the registry number for DR. MICHAEL C WILLOUGHBY (D.O.)?
The registry entry for DR. MICHAEL C WILLOUGHBY (D.O.) shows NPI 1457589582.
Is DR. MICHAEL C WILLOUGHBY (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MICHAEL C WILLOUGHBY (D.O.) as active.
Which specialty label fits DR. MICHAEL C WILLOUGHBY (D.O.)?
NPPES ties DR. MICHAEL C WILLOUGHBY (D.O.) to Cardiovascular Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MICHAEL C WILLOUGHBY (D.O.)?
DR. MICHAEL C WILLOUGHBY (D.O.) shows a connection to Palos Heights, Illinois in registry-derived data.
Why is information missing for DR. MICHAEL C WILLOUGHBY (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

DR. MAITRAYEE SUNDARESAN VADALI (MD)

Cardiovascular Disease Physician
West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60457, United States
NPI: 1013900851

DR. NEDA ZAMANI (M.D.)

Cardiovascular Disease Physician
12251 S 80th Ave Ste 1520
NPI: 1811935844

DR. ERIC TEPLITZ (MD)

Cardiovascular Disease Physician
12400 S Harlem Ave Ste 112
NPI: 1871526343

DR. NOURI AL-KHALED (M.D.)

Cardiovascular Disease Physician
3545, West 95th Street, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States
NPI: 1760416713

JAGDEEP SABHARWAL (MD)

Cardiovascular Disease Physician
12255 S 80th Ave Ste 205
NPI: 1871518282

DR. THOMAS J QUINN (M.D.)

Cardiovascular Disease Physician
15300 West Ave Ste 23
NPI: 1770502205

Unknown Individual

Cardiovascular Disease Physician
12255, South 80th Avenue, Palos Heights, Palos Township, Cook County, Illinois, 60464, United States
NPI: 1346269768