MICHAEL J WILLERTH (MD) – Surgery Physician, NPI 1316919202

MICHAEL J WILLERTH (MD) is a healthcare provider. based in Fort dodge, Iowa. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 31679 (IA). The NPI Number for MICHAEL J WILLERTH (MD) is 1316919202

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J WILLERTH (MD)
NPI
1316919202
Phone
(515) 574-6890
Address
24 N 9TH ST
Enumeration Date
3 February 2006
Last Update Date
22 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5155734141
Graduation Year
1989 (37 years ago)
PAC ID
7618029422
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20100224000956
Address ID
IA505015742FO804XXRDXX315
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

45 VASCULAR SURGERY in IA

Loading map...

Provider Addresses for MICHAEL J WILLERTH (MD)

  • North 9th Street, Fort Dodge, Webster County, Iowa, 50501, United States

    SUITE A

    FORT DODGE, IA 505013909

    Phone: (515) 574-6890

    Type: Mailing

  • Child Health Specialty Clinic, 804, Kenyon Road, Fort Dodge, Webster County, Iowa, 50501, United States

    FORT DODGE, IA 505015742

    Phone: (515) 574-6865

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $1,087.

Total Amount is formed as General ($1,087) + Research ($0) + Ownership ($0) = $1,087.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Medtronic, Inc. ($1,057).

Total Amount

$1,087

General + Research + Ownership

Payments

9

Total payment records

General Amount

$1,087

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-02-24

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
I20100224000956IVascular SurgeryIATBD

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
93880Ultrasound of both sides of head and neck blood flow348319$0
93922Ultrasound study of arm and leg arteries307268$0
93925Ultrasound of leg arteries or artery grafts256229$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers193181$0
99214Established patient office or other outpatient visit, 30-39 minutes187133$0
View full utilization report →

Insurance plans in this area (ZIP 50501)

Loading plans...

Provider's Procedures

MICHAEL J WILLERTH (MD) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYIA11042Removal of skin and tissue first 20 sq cm or less36089
VASCULAR SURGERYIA93926Ultrasound study of arteries and arterial grafts of one leg or limited3028
VASCULAR SURGERYIA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers138129

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: 8729992318View full group profile

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

Can I use this page to confirm MICHAEL J WILLERTH (MD)'s NPI?
Yes. MICHAEL J WILLERTH (MD) is listed with NPI 1316919202 in the public NPI dataset.
Does the file indicate MICHAEL J WILLERTH (MD) is practicing under active NPI?
Directory data currently reports MICHAEL J WILLERTH (MD) as active.
What is MICHAEL J WILLERTH (MD) best known for clinically?
Directory data describes MICHAEL J WILLERTH (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL J WILLERTH (MD) based?
MICHAEL J WILLERTH (MD) is tied to Fort Dodge, Iowa in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

Trimark Physicians Group

Family Medicine Physician
North 9th Street, Fort Dodge, Webster County, Iowa, 50501, United States
NPI: 1891771978

TODD ALLEN EIBES (M.D.)

Surgery Physician
403 1st St SE
NPI: 1043279706
310, 2nd Avenue South, Fort Dodge, Webster County, Iowa, 50501, United States
NPI: 1598704801
Mercy Family Clinic - Regency, 621, South Illinois Avenue, Regency, Mason City, Cerro Gordo County, Iowa, 50401, United States
NPI: 1265687271
804 KENYON RD STE G
NPI: 1023248705
403 1st St SE
NPI: 1619108719

MercyOne Iowa Heart Center Carroll

Clinical Cardiac Electrophysiology Physician
5880 University Ave
NPI: 1629301684

UnityPoint Clinic

Family Medicine Physician
802 KENYON RD
NPI: 1124396387