JAMES O'BRYAN WILLEY (P.A.) – Surgical Physician Assistant, NPI 1326059692

JAMES O'BRYAN WILLEY (P.A.) is a healthcare provider. based in Kettering, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 50002155 (OH). The NPI Number for JAMES O'BRYAN WILLEY (P.A.) is 1326059692

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JAMES O'BRYAN WILLEY (P.A.)
NPI
1326059692
Phone
(937) 433-5309
Address
3737 SOUTHERN BLVD STE 2100
Enumeration Date
11 August 2006
Last Update Date
13 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2004 (22 years ago)
PAC ID
4183694920
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20040728001469
Address ID
OH454292405KE4441XAVEX400

Contacts

FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Secure Messaging
jwilley24358@direct.ketteringhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for JAMES O'BRYAN WILLEY (P.A.)

  • 3737 SOUTHERN BLVD STE 2100

    KETTERING, OH 454291285

    Phone: (937) 433-5309

    Fax: (937) 298-0287

    Type: Mailing

  • 2110, Leiter Road, Miamisburg, Montgomery County, Ohio, 45342, United States

    MIAMISBURG, OH 453423598

    Phone: (937) 384-4841

    Fax: (937) 522-7626

    Type: Mailing

  • 3737, Southern Boulevard, Kettering, Montgomery County, Ohio, 45429, United States

    SUITE 2100

    KETTERING, OH 454291225

    Phone: (937) 433-5309

    Fax: (937) 298-0287

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Stryker Corporation ($103).

Total Amount

$132

General + Research + Ownership

Payments

2

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

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: 2004-07-28

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
I20040728001469IPhysician AssistantOHTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg54195$0
27447Replacement of knee joint, both sides of knee9084$0
20610Aspiration and/or injection of fluid from large joint7152$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance6753$0
99213Established patient office or other outpatient visit, 20-29 minutes5345$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Provider's Procedures

JAMES O'BRYAN WILLEY (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOH20610Aspiration and/or injection of large joint or joint capsule10163

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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

What is the registry number for JAMES O'BRYAN WILLEY (P.A.)?
The registry entry for JAMES O'BRYAN WILLEY (P.A.) shows NPI 1326059692.
Is JAMES O'BRYAN WILLEY (P.A.) currently accepting referrals based on NPI status?
Registry metadata lists JAMES O'BRYAN WILLEY (P.A.) as active.
What does the directory say JAMES O'BRYAN WILLEY (P.A.) does?
Insurance directories may phrase it differently, but here JAMES O'BRYAN WILLEY (P.A.) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JAMES O'BRYAN WILLEY (P.A.)?
JAMES O'BRYAN WILLEY (P.A.) shows a connection to Kettering, Ohio in registry-derived data.
Can I export JAMES O'BRYAN WILLEY (P.A.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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