DR. ZACHARY WILLIS (D.O.) – Surgery Physician, NPI 1265847016

DR. ZACHARY WILLIS (D.O.) is a healthcare provider. based in Saint louis, Missouri. specializing in Surgery Physician. They hold the professional credentials D.O.. They hold a License No. 2014017955 (MO). The NPI Number for DR. ZACHARY WILLIS (D.O.) is 1265847016

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ZACHARY WILLIS (D.O.)
NPI
1265847016
Phone
(314) 966-9100
Address
2345 DOUGHERTY FERRY RD
Enumeration Date
30 June 2014
Last Update Date
30 June 2014

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5737762600
Graduation Year
2014 (12 years ago)
PAC ID
1658677687
Group Practice PAC ID
5092769703
Professional Enrollment ID
I20190924003590
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DR. ZACHARY WILLIS (D.O.)

  • 2345 DOUGHERTY FERRY RD

    SAINT LOUIS, MO 631223313

    Phone: (314) 966-9100

    Type: Location

  • 243 VALLEY VIEW RIDGE DR

    VALLEY PARK, MO 630881338

    Phone: (239) 851-5888

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($107).

Total Amount

$185

General + Research + Ownership

Payments

8

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63122)

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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: 5092769703View full group profile
NameSpecialtyState
Radiation OncologyFL
Cardiovascular Disease (Cardiology)MO
-MO
Family Practice, Undersea And Hyperbaric MedicineTX
Cardiovascular Disease (Cardiology), Interventional CardiologyMO
P S Y C H I A T R YTX
Nurse PractitionerMO
-MO
-MO
Physician AssistantMO

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Frequently asked questions

Can I verify DR. ZACHARY WILLIS (D.O.) with an NPI only?
You can start verification with NPI 1265847016 for DR. ZACHARY WILLIS (D.O.), then check state licensing separately.
Can I rely on DR. ZACHARY WILLIS (D.O.) being an active provider?
As of the registry snapshot, DR. ZACHARY WILLIS (D.O.) is marked active.
What is DR. ZACHARY WILLIS (D.O.) best known for clinically?
Directory data describes DR. ZACHARY WILLIS (D.O.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ZACHARY WILLIS (D.O.) on a map?
Expect Saint Louis, Missouri as a primary anchor for DR. ZACHARY WILLIS (D.O.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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