DR. MICHAEL WILLIS (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1780032706
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 PODIATRY in KY
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Provider Addresses for DR. MICHAEL WILLIS (D.P.M.)
726 CUMBERLAND TRACE RD APT 334
BOWLING GREEN, KY 421039124
Phone: (314) 922-8271
Type: Mailing
1850, Westen Street, Eastland Park, Bowling Green, Warren County, Kentucky, 42104, United States
BOWLING GREEN, KY 421044152
Phone: (270) 846-3338
Type: Location
1 SHERIDAN SQ STE 102
KINGSPORT, TN 376607398
Phone: (423) 722-5200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,080.
Total Amount is formed as General ($1,080) + Research ($0) + Ownership ($0) = $1,080.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Organogenesis Inc. ($469).
Total Amount
$1,080
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,080
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $469 |
| Medtronic, Inc. | $172 |
| ABBVIE INC. | $128 |
| Paratek Pharmaceuticals, Inc. | $116 |
| Amgen Inc. | $74 |
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: 2021-08-13
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 |
|---|---|---|---|---|
| I20210813000241 | I | Podiatry | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 17 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 26 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 23 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 42103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | KY |
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