JOHN M WILLIS (DO) – Internal Medicine Physician, NPI 1205891207
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for JOHN M WILLIS (DO)
2800 E BROAD ST STE 512
MANSFIELD, TX 760636417
Phone: (817) 473-6867
Fax: (817) 453-0954
Type: Mailing
2800 E Broad St Ste 512
Mansfield, TX 760636417
Phone: (817) 473-6867
Fax: (817) 453-0954
Type: Location
252 MATLOCK RD STE 130
MANSFIELD, TX 760634295
Phone: (682) 242-8990
Fax: (682) 242-8996
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $421.
Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($67).
Total Amount
$421
General + Research + Ownership
Payments
21
Total payment records
General Amount
$421
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $67 |
| Lilly USA, LLC | $57 |
| PFIZER INC. | $54 |
| GlaxoSmithKline, LLC. | $40 |
| Novo Nordisk Inc | $37 |
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: 2007-08-07
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 |
|---|---|---|---|---|
| I20070807000557 | I | Internal Medicine | TX | 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 | 298 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 295 | 165 | $0 |
| G0008 | Administration of influenza virus vaccine | 76 | 74 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 71 | 69 | $0 |
| 99497 | Advance care planning, first 30 minutes | 53 | 53 | $0 |
Insurance plans in this area (ZIP 76063)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | TX | |
| Physician Assistant | NC | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Physician Assistant | TX | |
| - | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.