DR. RODNEY EARL WILLEY (DDS) – Dentist, NPI 1144409806
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
42 ORAL SURGERY in IN
Provider Addresses for DR. RODNEY EARL WILLEY (DDS)
230 E Day Rd Ste 150
Mishawaka, IN 465453463
Phone: (574) 800-5080
Type: Location
11825 STATE ROUTE 40
SUITE 100
DUNLAP, IL 615258842
Phone: (309) 243-8980
Fax: (309) 265-0274
Type: Mailing
413 N 17th Ave Ste 100
Wausau, WI 544014287
Phone: (715) 298-4454
Fax: (888) 837-0875
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Align Technology, Inc. ($33).
Total Amount
$33
General + Research + Ownership
Payments
3
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Align Technology, Inc. | $33 |
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: 2021-05-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080630000074 | I | Oral Surgery | IL | TBD |
| I20210318000112 | I | Dentist | WI | TBD |
| I20210519002968 | I | Dentist | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 189 | 170 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 57 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 46545)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| - | WI | |
| - | WI |
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