JOHN EDWARD WILLARD (MD) – Interventional Cardiology Physician, NPI 1083602452

JOHN EDWARD WILLARD (MD) is a healthcare provider. based in Fort worth, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. H0940 (TX). The NPI Number for JOHN EDWARD WILLARD (MD) is 1083602452

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JOHN EDWARD WILLARD (MD)
NPI
1083602452
Phone
(817) 252-5000
Address
1300 W TERRELL AVE STE 500
Enumeration Date
11 October 2005
Last Update Date
15 September 2014

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8172525000
Graduation Year
1985 (41 years ago)
PAC ID
4587699293
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20050930000750
Address ID
TX761042821FO1300XAVEX401
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

2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

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Provider Addresses for JOHN EDWARD WILLARD (MD)

  • 500, West Terrell Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761042810

    Phone: (817) 252-5000

    Fax: (817) 252-5060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $399.

Total Amount is formed as General ($399) + Research ($0) + Ownership ($0) = $399.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($154).

Total Amount

$399

General + Research + Ownership

Payments

20

Total payment records

General Amount

$399

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2005-09-30

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
I20050930000750ICardiovascular Disease (Cardiology)TXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes583418$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function295285$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report217174$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15471$0
99204New patient office or other outpatient visit, 45-59 minutes131131$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Provider's Procedures

JOHN EDWARD WILLARD (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin1817
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4538

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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

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Frequently asked questions

What is the standard ID for JOHN EDWARD WILLARD (MD) in the U.S.?
In the U.S., JOHN EDWARD WILLARD (MD) is identified by NPI 1083602452.
Is JOHN EDWARD WILLARD (MD)'s NPI status active today?
Active status means JOHN EDWARD WILLARD (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits JOHN EDWARD WILLARD (MD)?
NPPES ties JOHN EDWARD WILLARD (MD) to Interventional Cardiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JOHN EDWARD WILLARD (MD)?
The directory associates JOHN EDWARD WILLARD (MD) with Fort Worth, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for JOHN EDWARD WILLARD (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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