JORDAN WILLIS (PA-C) – Dermatology Physician, NPI 1982330411
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for JORDAN WILLIS (PA-C)
54 WILLOW FIELD DR
NORTH FALMOUTH, MA 025562827
Phone: (508) 566-7243
Type: Mailing
POB 7132960
CHICAGO, IL 606770001
Phone: (630) 469-9200
Type: Mailing
40 S CLAY ST STE LL30
HINSDALE, IL 605213257
Phone: (630) 286-5050
Fax: (630) 286-5052
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 280 Open Payments records for all available years, with a total value of $7,292.
Total Amount is formed as General ($7,292) + Research ($0) + Ownership ($0) = $7,292.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: ABBVIE INC. ($1,204).
Total Amount
$7,292
General + Research + Ownership
Payments
280
Total payment records
General Amount
$7,292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,204 |
| Lilly USA, LLC | $774 |
| Novartis Pharmaceuticals Corporation | $556 |
| Amgen Inc. | $445 |
| Regeneron Healthcare Solutions, Inc. | $403 |
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: 2025-03-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221115001560 | I | Physician Assistant | MA | TBD |
| I20250313000725 | I | Physician Assistant | IL | 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 | 397 | 249 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 385 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 132 | 132 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 100 | 73 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 43 | 39 | $0 |
Insurance plans in this area (ZIP 02556)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL |
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