WILLIS W PEELLE (MD) – Urology Physician, NPI 1437146156

WILLIS W PEELLE (MD) is a healthcare provider. based in Kokomo, Indiana. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 01024373 (IN). The NPI Number for WILLIS W PEELLE (MD) is 1437146156

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
WILLIS W PEELLE (MD)
NPI
1437146156
Phone
(765) 455-4075
Address
2345 W LINCOLN RD
Enumeration Date
29 September 2005
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7654554075
Graduation Year
1972 (54 years ago)
PAC ID
9133234081
Group Practice PAC ID
8123145364
Professional Enrollment ID
I20101124000803
Address ID
IN469028012KO2345XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

300 UROLOGY in IN

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Provider Addresses for WILLIS W PEELLE (MD)

  • 2345, West Lincoln Road, New Maple Crest, Kokomo, Howard County, Indiana, 46902, United States

    KOKOMO, IN 469028012

    Phone: (765) 455-4075

    Fax: (765) 455-4094

    Type: Mailing

  • 679 E COUNTY LINE RD

    GREENWOOD, IN 461431049

    Phone: (317) 859-7222

    Fax: (317) 859-7220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $496.

Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Astellas Pharma US Inc ($112).

Total Amount

$496

General + Research + Ownership

Payments

24

Total payment records

General Amount

$496

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: 2010-11-24

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
I20101124000803IUrologyINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46902)

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Provider's Procedures

WILLIS W PEELLE (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYIN55700Biopsy of prostate gland3232
UROLOGYIN76872Ultrasound of rectum3332

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: 8123145364View full group profile
NameSpecialtyState
U R O L O G YIN
-IN

Reviews

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Frequently asked questions

Does WILLIS W PEELLE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WILLIS W PEELLE (MD) uses 1437146156.
Does CMS list WILLIS W PEELLE (MD) as active?
Yes — WILLIS W PEELLE (MD) is active in the NPI listing used on this page.
What is WILLIS W PEELLE (MD)'s primary classification?
Urology Physician is the headline specialty for WILLIS W PEELLE (MD) here. Clinical services aligned with this taxonomy classification.
What area does WILLIS W PEELLE (MD) serve?
WILLIS W PEELLE (MD)'s listing highlights Kokomo, Indiana; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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