DR. GEORGE III WILLEFORD (M.D.) – Gastroenterology Physician, NPI 1225013758
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. GEORGE III WILLEFORD (M.D.)
PO BOX 10597
AUSTIN, TX 787661597
Phone: (512) 485-5878
Fax: (512) 420-0397
Type: Mailing
1111, West 34th Street, Bryker Woods, Austin, Travis County, Texas, 78705, United States
SUITE 200
AUSTIN, TX 787051900
Phone: (512) 454-4588
Fax: (512) 459-9869
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: 2009-11-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091130000233 | I | Gastroenterology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78766)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | TX | 45385 | Removal of polyps or growths of large bowel using an endoscope | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Physician Assistant | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Physician Assistant | TX | |
| - | TX |
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