DR. KEVIN WILLIS (M.D.) – Diagnostic Radiology Physician, NPI 1174510937

DR. KEVIN WILLIS (M.D.) is a healthcare provider. based in Lancaster, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA07932100 (NJ). The NPI Number for DR. KEVIN WILLIS (M.D.) is 1174510937

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN WILLIS (M.D.)
NPI
1174510937
Phone
(717) 293-3223
Address
2501 OREGON PIKE
Enumeration Date
5 October 2005
Last Update Date
21 November 2007

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
9734143473
Graduation Year
1998 (28 years ago)
PAC ID
0648170217
Group Practice PAC ID
4082009717
Professional Enrollment ID
I20051013000516
Address ID
NJ070182819EA300XXAVEX300
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

1,259 DIAGNOSTIC RADIOLOGY in NJ

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Provider Addresses for DR. KEVIN WILLIS (M.D.)

  • 2501, Oregon Pike, Roseville, Manheim Township, Lancaster County, Pennsylvania, 17601, United States

    SUITE 101

    LANCASTER, PA 176014890

    Phone: (717) 293-3223

    Fax: (717) 390-2455

    Type: Mailing

  • Route 37 West, Manchester Township, Ocean County, New Jersey, 08757, United States

    TOMS RIVER, NJ 087556423

    Phone: (732) 557-8051

    Fax: (732) 557-2064

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-09-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051013000516IDiagnostic RadiologyNJTBD
I20210920001032IDiagnostic RadiologyFLTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml15,19298$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml6,97172$0
A9585Injection, gadobutrol, 0.1 ml3,45241$0
71045X-ray of chest, 1 view715655$0
70450Ct scan head or brain without contrast420405$0
View full utilization report →

Insurance plans in this area (ZIP 17601)

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Provider's Procedures

DR. KEVIN WILLIS (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNJ51798Ultrasound measurement of bladder capacity after voiding2020
DIAGNOSTIC RADIOLOGYNJ71010X-ray of chest, 1 view, front688625
DIAGNOSTIC RADIOLOGYNJ71250CT scan chest169160
DIAGNOSTIC RADIOLOGYNJ73110X-ray of wrist, minimum of 3 views2322
DIAGNOSTIC RADIOLOGYNJ73562X-ray of knee, 3 views1915
DIAGNOSTIC RADIOLOGYNJ73630X-ray of foot, minimum of 3 views2924
DIAGNOSTIC RADIOLOGYNJ74177CT scan of abdomen and pelvis with contrast189188
DIAGNOSTIC RADIOLOGYNJ93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3838

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: 4082009717View full group profile
NameSpecialtyState
Nurse PractitionerPA
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Nurse PractitionerNJ
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Internal Medicine, Cardiovascular Disease (Cardiology)NJ
Diagnostic Radiology, Interventional RadiologyIN
Diagnostic RadiologyIA
Diagnostic RadiologyPA
Interventional Radiology, Diagnostic Radiology, Pain Management, Diagnostic RadiologyNJ
Nurse PractitionerNJ

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Frequently asked questions

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Does this profile mean DR. KEVIN WILLIS (M.D.) is currently active?
Yes — DR. KEVIN WILLIS (M.D.) appears active in the national provider directory.
Can you summarize DR. KEVIN WILLIS (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. KEVIN WILLIS (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KEVIN WILLIS (M.D.)?
The page summarizes Lancaster, Pennsylvania for DR. KEVIN WILLIS (M.D.); expand the address list for detail.
Is DR. KEVIN WILLIS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1174510937. Always confirm identity and privileges with the practice and licensing boards.

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