KEVIN J WILLIS (M.D.) – Family Medicine Physician, NPI 1700919776

KEVIN J WILLIS (M.D.) is a healthcare provider. based in Ashland, Kentucky. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 25530 (KY). The NPI Number for KEVIN J WILLIS (M.D.) is 1700919776

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J WILLIS (M.D.)
NPI
1700919776
Phone
(606) 408-6200
Address
P.O. BOX 2379
Enumeration Date
13 March 2007
Last Update Date
7 April 2017

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
6063242055
Graduation Year
1985 (41 years ago)
PAC ID
2567494370
Group Practice PAC ID
6103968029
Professional Enrollment ID
I20050901000033
Address ID
KY411017008AS398XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

504 HOSPITALIST in KY

Provider Addresses for KEVIN J WILLIS (M.D.)

  • P.O. BOX 2379

    ASHLAND, KY 411052379

    Phone: (606) 408-6200

    Fax: (606) 408-6612

    Type: Mailing

  • 2201 LEXINGTON AVE

    ASHLAND, KY 411012843

    Phone: (606) 408-4000

    Fax: (606) 408-7426

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-04-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050901000033IHospitalistKYTBD
I20150416000498IHospitalistOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes699251$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes523487$0
99238Hospital discharge day management, 30 minutes or less189172$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes117114$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9966$0
View full utilization report →

Insurance plans in this area (ZIP 41105)

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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: 6103968029View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YKY
Nurse PractitionerKY
Nurse PractitionerKY
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)KY
Cardiovascular Disease (Cardiology), Internal MedicineKY
-KY
Interventional CardiologyKY
Pulmonary Disease, Critical Care (Intensivists)KY
Plastic And Reconstructive SurgeryNY
Vascular Surgery, General SurgeryKY

Reviews

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Frequently asked questions

How do I look up KEVIN J WILLIS (M.D.) by NPI?
Use NPI 1700919776 when you need to reference KEVIN J WILLIS (M.D.) in forms, claims, or directories.
Does this profile mean KEVIN J WILLIS (M.D.) is currently active?
Yes — KEVIN J WILLIS (M.D.) appears active in the national provider directory.
Can you summarize KEVIN J WILLIS (M.D.)'s specialty in plain language?
Clinically, the directory lists KEVIN J WILLIS (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KEVIN J WILLIS (M.D.)?
The snapshot lists Ashland, Kentucky for KEVIN J WILLIS (M.D.); download NPPES for the complete set.
How can I contact KEVIN J WILLIS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.