DR. WILLIS Y WU (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1669633046

DR. WILLIS Y WU (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 14363 (NV). The NPI Number for DR. WILLIS Y WU (M.D.) is 1669633046

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIS Y WU (M.D.)
NPI
1669633046
Phone
(702) 684-7246
Address
9920 W CHEYENNE AVE
Enumeration Date
19 June 2008
Last Update Date
9 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
8224284187
Group Practice PAC ID
8729084470
Professional Enrollment ID
I20120808000428
Address ID
NV891297726La9920XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

37 INTERVENTIONAL PAIN MANAGEMENT in NV

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Provider Addresses for DR. WILLIS Y WU (M.D.)

  • West Cheyenne Avenue, Desert Shores, Las Vegas, Clark County, Nevada, 89129-6201, United States

    110

    LAS VEGAS, NV 891297725

    Phone: (702) 684-7246

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $2,073.

Total Amount is formed as General ($2,073) + Research ($0) + Ownership ($0) = $2,073.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Abbott Laboratories ($1,655).

Total Amount

$2,073

General + Research + Ownership

Payments

65

Total payment records

General Amount

$2,073

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-08

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120808000428IInterventional Pain ManagementNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes218103$0
99213Established patient office or other outpatient visit, 20-29 minutes14882$0
99204New patient office or other outpatient visit, 45-59 minutes8686$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level8360$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg7327$0
View full utilization report →

Insurance plans in this area (ZIP 89129)

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Provider's Procedures

DR. WILLIS Y WU (M.D.) performs procedures in INTERVENTIONAL PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTNV20610Aspiration and/or injection of large joint or joint capsule3522
INTERVENTIONAL PAIN MANAGEMENTNV64493Injections of lower or sacral spine facet joint using imaging guidance6237

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: 8729084470View full group profile
NameSpecialtyState
-NV
-NV
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV
Family Practice, Pain ManagementNV
-ID
Certified Registered Nurse Anesthetist (Crna)NV
Physician AssistantKS
Pain Management, AnesthesiologyWA

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Frequently asked questions

What is DR. WILLIS Y WU (M.D.)'s NPI number?
DR. WILLIS Y WU (M.D.)'s NPI is 1669633046 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. WILLIS Y WU (M.D.)?
You should see DR. WILLIS Y WU (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. WILLIS Y WU (M.D.)?
At a glance, DR. WILLIS Y WU (M.D.) is tied to Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Is DR. WILLIS Y WU (M.D.) associated with Las Vegas?
Public fields place DR. WILLIS Y WU (M.D.) around Las Vegas, Nevada. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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