MICHAEL J WILLERTH (MD) – Surgery Physician, NPI 1316919202
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
45 VASCULAR SURGERY in IA
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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
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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
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,057 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $16 |
| W. L. Gore & Associates, Inc. | $14 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100224000956 | I | Vascular Surgery | IA | 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 |
|---|---|---|---|---|
| 93880 | Ultrasound of both sides of head and neck blood flow | 348 | 319 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 307 | 268 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 256 | 229 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 193 | 181 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 187 | 133 | $0 |
Insurance plans in this area (ZIP 50501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | IA | 11042 | Removal of skin and tissue first 20 sq cm or less | 360 | 89 |
| VASCULAR SURGERY | IA | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 30 | 28 |
| VASCULAR SURGERY | IA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 138 | 129 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| A N E S T H E S I O L O G Y | IA | |
| - | IA | |
| Physical Therapist In Private Practice | IA | |
| Nurse Practitioner | IA | |
| - | IL |
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