DR. DAVIS WILLMANN – Emergency Medicine Physician, NPI 1083097786

DR. DAVIS WILLMANN is a healthcare provider. based in Fort worth, Texas. specializing in EMERGENCY MEDICINE. They hold a License No. MT208855 (PA). The NPI Number for DR. DAVIS WILLMANN is 1083097786

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVIS WILLMANN
NPI
1083097786
Phone
(817) 496-9700
Address
6451 BRENTWOOD STAIR RD STE 200
Enumeration Date
30 June 2015
Last Update Date
30 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2149478181
Graduation Year
2015 (11 years ago)
PAC ID
4688955032
Group Practice PAC ID
7012161375
Professional Enrollment ID
I20180803000783
Address ID
TX752031201DA1441XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. DAVIS WILLMANN

  • 6451 BRENTWOOD STAIR RD STE 200

    FORT WORTH, TX 761123200

    Phone: (817) 496-9700

    Type: Mailing

  • 801 OSTRUM ST

    BETHLEHEM, PA 180151000

    Phone: (484) 526-4500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-08-03

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
I20180803000783IEmergency MedicineTXTBD

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 making219217$0
99284Emergency department visit with moderate level of medical decision making115112$0
99291Critical care, first 30-74 minutes6464$0
99283Emergency department visit with low level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 76112)

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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: 7012161375View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineLA
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineIL
Emergency MedicineTX

Reviews

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Frequently asked questions

How do I look up DR. DAVIS WILLMANN by NPI?
Use NPI 1083097786 when you need to reference DR. DAVIS WILLMANN in forms, claims, or directories.
Does this profile mean DR. DAVIS WILLMANN is currently active?
Yes — DR. DAVIS WILLMANN appears active in the national provider directory.
Does DR. DAVIS WILLMANN list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. DAVIS WILLMANN. Clinical services aligned with this taxonomy classification.
What location shows for DR. DAVIS WILLMANN?
We surface Fort Worth, Texas for DR. DAVIS WILLMANN based on available NPPES addresses.
What if Fort Worth, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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