MARK ALLEN WILLARD (MD) – Internal Medicine Physician, NPI 1013053503

MARK ALLEN WILLARD (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35080144 (OH). The NPI Number for MARK ALLEN WILLARD (MD) is 1013053503

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALLEN WILLARD (MD)
NPI
1013053503
Phone
(614) 221-3725
Address
6480 HARRISON AVE STE 201
Enumeration Date
30 January 2007
Last Update Date
21 July 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6142216331
Graduation Year
1998 (28 years ago)
PAC ID
6608761614
Group Practice PAC ID
0345136412
Professional Enrollment ID
I20040218000848
Address ID
OH430548195NE7277XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for MARK ALLEN WILLARD (MD)

  • 6480 HARRISON AVE STE 201

    CINCINNATI, OH 452477961

    Phone: (614) 221-3725

    Fax: (614) 221-5613

    Type: Mailing

  • 7277, Smith's Mill Road, New Albany, Plain Township, Ohio, 43054, United States

    SUITE 250

    NEW ALBANY, OH 43054

    Phone: (614) 221-3725

    Fax: (614) 221-5613

    Type: Mailing

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: 2004-02-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040218000848IInternal MedicineOHTBD

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
99204New patient office or other outpatient visit, 45-59 minutes476476$0
36415Insertion of needle into vein for collection of blood sample360340$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report305305$0
99214Established patient office or other outpatient visit, 30-39 minutes296244$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only276275$0
View full utilization report →

Insurance plans in this area (ZIP 45247)

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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: 0345136412View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physician AssistantOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
N E U R O L O G YOH

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Frequently asked questions

What unique ID ties claims to MARK ALLEN WILLARD (MD)?
NPI 1013053503 is assigned to MARK ALLEN WILLARD (MD) under the national enumeration system.
Is MARK ALLEN WILLARD (MD) active in the national directory?
MARK ALLEN WILLARD (MD)'s public NPI profile is in an active state.
Does MARK ALLEN WILLARD (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for MARK ALLEN WILLARD (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK ALLEN WILLARD (MD)?
The page summarizes Cincinnati, Ohio for MARK ALLEN WILLARD (MD); expand the address list for detail.
What if Cincinnati, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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