DR. ROGER CECIL WILLIS (MD) – Family Medicine Physician, NPI 1477501815
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ROGER CECIL WILLIS (MD)
3050 TREMONT STREET
NORTH BEND, OR 97459
Phone: (541) 888-9494
Fax: (541) 888-4435
Type: Mailing
1900 WOODLAND DR
COOS BAY, OR 974202099
Phone: (541) 267-5151
Type: Mailing
790 E 5TH ST
COQUILLE, OR 974231755
Phone: (541) 396-7295
Type: Location
Miluk Drive, Coos County, Oregon, United States
COOS BAY, OR 97420
Phone: (541) 888-9494
Fax: (541) 888-4435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Novo Nordisk Inc ($59).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $59 |
| Exact Sciences Corporation | $19 |
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: 2006-07-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050812000665 | I | Family Practice | TX | TBD |
| I20060712000344 | I | Family Practice | OR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 396 | 200 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 293 | 185 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 162 | 162 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 124 | 11 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 109 | 109 | $0 |
Insurance plans in this area (ZIP 97459)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OR | 90670 | Pneumococcal vaccine for injection into muscle | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Physician Assistant | OR | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | MT | |
| Physician Assistant | UT | |
| Physician Assistant | OR | |
| Family Practice, Addiction Medicine | WA | |
| Physical Therapist In Private Practice | OR | |
| Physician Assistant | OR |
Reviews
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