DR. WILLIAM A WILLIS (M.D.) – General Practice Physician, NPI 1205875846

DR. WILLIAM A WILLIS (M.D.) is a healthcare provider. based in Poteau, Oklahoma. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 12280 (OK). The NPI Number for DR. WILLIAM A WILLIS (M.D.) is 1205875846

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM A WILLIS (M.D.)
NPI
1205875846
Phone
(918) 839-2159
Address
PO BOX 459
Enumeration Date
6 June 2006
Last Update Date
4 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186470670
Graduation Year
1978 (48 years ago)
PAC ID
6204831001
Group Practice PAC ID
1456603901
Professional Enrollment ID
I20060929000396
Address ID
OK749534411PO1103XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

103 GENERAL PRACTICE in OK

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Provider Addresses for DR. WILLIAM A WILLIS (M.D.)

  • Poteau, LeFlore County, Oklahoma, United States

    POTEAU, OK 749530459

    Phone: (918) 839-2159

    Type: Mailing

  • 104, South Wall Street, Poteau, LeFlore County, Oklahoma, 74953, United States

    POTEAU, OK 74953

    Phone: (918) 839-2159

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $265.

Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Exact Sciences Corporation ($71).

Total Amount

$265

General + Research + Ownership

Payments

16

Total payment records

General Amount

$265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

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: 2006-09-29

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
I20060929000396IGeneral PracticeOKTBD

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 minutes1,017228$0
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms682105$0
80307Testing for presence of drug, by chemistry analyzers575107$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a18145$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes14730$0
View full utilization report →

Insurance plans in this area (ZIP 74953)

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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: 1456603901View full group profile
NameSpecialtyState
Pain Management, Family PracticeOK
Family PracticeOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is there an official ID for DR. WILLIAM A WILLIS (M.D.) in U.S. healthcare records?
The official identifier for DR. WILLIAM A WILLIS (M.D.) is NPI 1205875846.
Is there an active status for DR. WILLIAM A WILLIS (M.D.)?
For scheduling context, DR. WILLIAM A WILLIS (M.D.) is shown as active in the registry.
What area of care is associated with DR. WILLIAM A WILLIS (M.D.)?
DR. WILLIAM A WILLIS (M.D.)'s record emphasizes General Practice Physician. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is DR. WILLIAM A WILLIS (M.D.) registered?
Use Poteau, Oklahoma as the headline location for DR. WILLIAM A WILLIS (M.D.) here.
When was this NPI issued?
Enumeration for DR. WILLIAM A WILLIS (M.D.) is noted as June 6, 2006 where the registry provides it.

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