MR. JEFFREY FRANKLIN WILLARD (PA-C) – Physician Assistant, NPI 1245713031
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MR. JEFFREY FRANKLIN WILLARD (PA-C)
707 W 2ND ST
BLOOMINGTON, IN 474032209
Phone: (812) 334-5081
Fax: (812) 334-5091
Type: Location
707 W 2nd St
Bloomington, IN 474032209
Phone: (812) 334-5081
Fax: (812) 334-5091
Type: Location
7910 W Jefferson Blvd Ste 102
Fort Wayne, IN 468044159
Phone: (260) 458-3555
Fax: (260) 458-3530
Type: Location
102, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States
FORT WAYNE, IN 468044159
Phone: (260) 458-3555
Fax: (260) 458-3530
Type: Location
Pointe Inverness Way, Covington Dells, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047934
Phone: (260) 479-3514
Fax: (260) 479-3520
Type: Mailing
PO BOX 10880
PRESCOTT, AZ 863040880
Phone: (602) 406-4786
Fax: (916) 636-4358
Type: Mailing
1001 WILLOW CREEK RD STE 3200
PRESCOTT, AZ 863011614
Phone: (602) 406-4786
Fax: (916) 636-4358
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $761.
Total Amount is formed as General ($761) + Research ($0) + Ownership ($0) = $761.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($295).
Total Amount
$761
General + Research + Ownership
Payments
16
Total payment records
General Amount
$761
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $295 |
| ABIOMED | $186 |
| ATRICURE, INC. | $93 |
| Abbott Laboratories | $64 |
| Ethicon US, LLC | $51 |
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: 2024-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181108001217 | I | Physician Assistant | IN | TBD |
| I20241113003341 | I | Physician Assistant | AZ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 18 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 11 | 11 | $0 |
Insurance plans in this area (ZIP 47403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | MI | |
| Family Practice | AZ | |
| Nurse Practitioner | SC | |
| - | TN | |
| Cardiovascular Disease (Cardiology) | AZ | |
| - | AZ | |
| Nurse Practitioner | WA |
Reviews
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