PAUL M WILLIS (MD) – Specialist, NPI 1104835180

PAUL M WILLIS (MD) is a healthcare provider. based in Mc kees rocks, Pennsylvania. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD070567L (PA). The NPI Number for PAUL M WILLIS (MD) is 1104835180

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
PAUL M WILLIS (MD)
NPI
1104835180
Phone
(412) 771-2266
Address
27 HECKEL RD
Enumeration Date
7 August 2006
Last Update Date
2 December 2013

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
4127712266
Graduation Year
1994 (32 years ago)
PAC ID
8527047422
Group Practice PAC ID
6204858293
Professional Enrollment ID
I20040715000103
Address ID
PA151361695MC27XXXRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,997 GENERAL SURGERY in PA

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Provider Addresses for PAUL M WILLIS (MD)

  • 27, Heckel Road, Kenmawr, McKees Rocks, Allegheny County, Pennsylvania, 15136, United States

    SUITE 213

    MC KEES ROCKS, PA 151361616

    Phone: (412) 771-2266

    Fax: (412) 771-2443

    Type: Location

  • PO BOX 240

    INGOMAR, PA 151270240

    Phone: (412) 771-2266

    Fax: (412) 771-2443

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $860.

Total Amount is formed as General ($860) + Research ($0) + Ownership ($0) = $860.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Philips Electronics North America Corporation ($225).

Total Amount

$860

General + Research + Ownership

Payments

21

Total payment records

General Amount

$860

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-07-15

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
I20040715000103IGeneral SurgeryPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes31092$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7266$0
99213Established patient office or other outpatient visit, 20-29 minutes4532$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
99212Established patient office or other outpatient visit, 10-19 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 15136)

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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: 6204858293View full group profile
NameSpecialtyState
Vascular SurgeryPA

Reviews

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Frequently asked questions

Can I use this page to confirm PAUL M WILLIS (MD)'s NPI?
Yes. PAUL M WILLIS (MD) is listed with NPI 1104835180 in the public NPI dataset.
Does CMS list PAUL M WILLIS (MD) as active?
Yes — PAUL M WILLIS (MD) is active in the NPI listing used on this page.
What is PAUL M WILLIS (MD) best known for clinically?
Directory data describes PAUL M WILLIS (MD) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Where should I expect PAUL M WILLIS (MD) on a map?
Expect Mc Kees Rocks, Pennsylvania as a primary anchor for PAUL M WILLIS (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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