DR. CHAD D WILLIS (D.O.) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1750432043
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 OTOLARYNGOLOGY in OK
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Provider Addresses for DR. CHAD D WILLIS (D.O.)
Mabee-Gerrer Museum of Art at SSM Health Saint Anthony Hospital - Shawnee, J D Kethley Road, Shawnee, Pottawatomie County, Oklahoma, 74804, United States
SHAWNEE, OK 748049625
Phone: (405) 273-5801
Fax: (405) 878-3794
Type: Location
Box, Sequoyah County, Oklahoma, United States
OKLAHOMA CITY, OK 731258884
Phone: (405) 231-3857
Fax: (405) 272-7977
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($69).
Total Amount
$108
General + Research + Ownership
Payments
6
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $69 |
| Medtronic, Inc. | $20 |
| Merck Sharp & Dohme LLC | $18 |
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: 2010-08-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100805001071 | I | Otolaryngology | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 870 | 20 | $0 |
| 95115 | Professional service for single injection of allergen | 361 | 14 | $0 |
| 95004 | Test for allergy using allergenic extract | 300 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 285 | 285 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 272 | 220 | $0 |
Insurance plans in this area (ZIP 74804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Internal Medicine, Pediatric Medicine | OK | |
| U R O L O G Y | OK | |
| Clinical Social Worker | OK | |
| Physician Assistant | OK | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| Family Practice | OK | |
| Family Practice | OK |
Reviews
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