GREGORY S WILLIS (M.D.) – Radiation Oncology Physician, NPI 1417941600

GREGORY S WILLIS (M.D.) is a healthcare provider. based in Tualatin, Oregon. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. MD2016-0015 (NM). The NPI Number for GREGORY S WILLIS (M.D.) is 1417941600

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY S WILLIS (M.D.)
NPI
1417941600
Phone
(503) 692-4843
Address
6489 SW BORLAND RD
Enumeration Date
2 September 2005
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5054396100
Graduation Year
1999 (27 years ago)
PAC ID
7012902315
Group Practice PAC ID
3173516606
Professional Enrollment ID
I20160506000139
Address ID
NM883108700AL2669XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

111 RADIATION ONCOLOGY in OR

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Provider Addresses for GREGORY S WILLIS (M.D.)

  • 6489, Southwest Borland Road, Tualatin, Metro, Clackamas County, Oregon, 97062, United States

    TUALATIN, OR 970629798

    Phone: (503) 692-4843

    Fax: (503) 692-6543

    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 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-05-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$38
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: 2016-05-06

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
I20160506000139IRadiation OncologyNMTBD

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
77014Ct guidance for insertion of radiation therapy fields46426$0
77334Design and construction of complex radiation treatment device19645$0
77427Radiation treatment management, 5 treatment sessions19446$0
99213Established patient office or other outpatient visit, 20-29 minutes178144$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy15111$0
View full utilization report →

Insurance plans in this area (ZIP 97062)

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Provider's Procedures

GREGORY S WILLIS (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYOR77427Radiation treatment management, 5 treatments18983

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: 3173516606View full group profile
NameSpecialtyState
Nurse PractitionerNM
Certified Registered Nurse Anesthetist (Crna)NV
Internal Medicine, GastroenterologyNM
General SurgeryNM
O B S T E T R I C S/ G Y N E C O L O G YNM
Nurse PractitionerTX
Family PracticeNM
General SurgeryMI
-NM
Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular DiseaseNM

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Frequently asked questions

Can I use this page to confirm GREGORY S WILLIS (M.D.)'s NPI?
Yes. GREGORY S WILLIS (M.D.) is listed with NPI 1417941600 in the public NPI dataset.
Is GREGORY S WILLIS (M.D.) still practicing?
GREGORY S WILLIS (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes GREGORY S WILLIS (M.D.)?
For research purposes, treat GREGORY S WILLIS (M.D.) as Radiation Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is GREGORY S WILLIS (M.D.) based?
GREGORY S WILLIS (M.D.) is tied to Tualatin, Oregon in the data we show; additional addresses may exist on the full record.
Why does GREGORY S WILLIS (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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