MALLORY LOUISE WILLIS (D.O.) – Family Medicine Physician, NPI 1306308309
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,210 FAMILY PRACTICE in TN
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Provider Addresses for MALLORY LOUISE WILLIS (D.O.)
917, Walnut Street, Borland Place, Iowa City, Johnson County, Iowa, 52240, United States
JOHNSON CITY, TN 376046527
Phone: (423) 439-4683
Type: Mailing
1171 GATEWOOD DRIVE
#101
AUBURN, AL 36830
Phone: (334) 821-2708
Fax: (334) 528-5420
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $705.
Total Amount is formed as General ($705) + Research ($0) + Ownership ($0) = $705.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Abbott Laboratories ($131).
Total Amount
$705
General + Research + Ownership
Payments
32
Total payment records
General Amount
$705
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $131 |
| ABBVIE INC. | $106 |
| Novo Nordisk Inc | $96 |
| Otsuka America Pharmaceutical, Inc. | $78 |
| Edwards Lifesciences Corporation | $44 |
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: 2022-07-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220727002721 | I | Family Practice | AL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 89 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 89 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 63 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| Physician Assistant | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Family Practice | AL | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| - | GA |
Reviews
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