PETER L WILLIS (M.D.) – Family Medicine Physician, NPI 1730144551

PETER L WILLIS (M.D.) is a healthcare provider. based in Westerly, Rhode Island. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD10903 (RI). The NPI Number for PETER L WILLIS (M.D.) is 1730144551

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
PETER L WILLIS (M.D.)
NPI
1730144551
Phone
(401) 596-6464
Address
77 Franklin St
Enumeration Date
18 April 2006
Last Update Date
18 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604420711
Graduation Year
1996 (30 years ago)
PAC ID
3577553577
Group Practice PAC ID
5991792053
Professional Enrollment ID
I20200323003195
Address ID
CT063204700NE365XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

439 EMERGENCY MEDICINE in RI

Provider Addresses for PETER L WILLIS (M.D.)

  • 77 Franklin St

    Westerly, RI 028913136

    Phone: (401) 596-6464

    Fax: (401) 348-8660

    Type: Location

  • 20 YORK STREET, CB-329

    NEW HAVEN, CT 065103220

    Phone: (203) 688-1734

    Fax: (475) 246-9106

    Type: Mailing

  • Westerly Hospital, 25, Wells Street, Westerly, South County, Rhode Island, 02891, United States

    WESTERLY, RI 028912922

    Phone: (401) 596-8990

    Fax: (401) 865-2393

    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: 2020-03-23

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
I20040513000081IEmergency MedicineRITBD
I20200323003195IEmergency MedicineCTTBD

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
99285Emergency department visit with high level of medical decision making257248$0
99284Emergency department visit with moderate level of medical decision making224206$0
99283Emergency department visit with low level of medical decision making8685$0
99291Critical care, first 30-74 minutes5151$0
99282Emergency department visit with straightforward medical decision making2725$0
View full utilization report →

Insurance plans in this area (ZIP 02891)

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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: 5991792053View full group profile
NameSpecialtyState
Emergency MedicineRI
Emergency MedicineNY
Emergency MedicineCT
Emergency MedicineCT
Emergency MedicineRI
Physician AssistantRI
Emergency MedicineCT
Emergency MedicineNY
Emergency MedicineCT
Physician AssistantCT

Reviews

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Frequently asked questions

What is PETER L WILLIS (M.D.)'s NPI number?
PETER L WILLIS (M.D.)'s NPI is 1730144551 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to PETER L WILLIS (M.D.)?
You should see PETER L WILLIS (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe PETER L WILLIS (M.D.)'s focus?
For PETER L WILLIS (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with PETER L WILLIS (M.D.)?
Directory geography for PETER L WILLIS (M.D.) centers on Westerly, Rhode Island.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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