WILLIS BON BARROW (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1922324441

Anatomic Pathology & Clinical Pathology Physician

WILLIS BON BARROW (MD) is a healthcare provider. based in Addison, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials MD. They hold a License No. ME127490 (FL). The NPI Number for WILLIS BON BARROW (MD) is 1922324441

Main info

Male

16 Years Of Experience

Accepts Medicare Assignment

Name

WILLIS BON BARROW (MD)

NPI

1922324441

Phone

(239) 275-1164

Address

14275 MIDWAY RD

Enumeration Date

8 April 2010

Last Update Date

11 October 2016

Doctor Profile

Medical School Name

UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)

Secondary Phone

23943233418771

Graduation Year

2010 (16 years ago)

PAC ID

1557589892

Group Practice PAC ID

8022027572

Professional Enrollment ID

I20160913000965

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience51

Completeness75

Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for WILLIS BON BARROW (MD)

14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone: (239) 275-1164
Fax: (610) 271-4245
Type: Mailing
1620, Medical Lane, Fort Myers, Lee County, Florida, 33907, United States
SUITE 100
FORT MYERS, FL 339071143
Phone: (239) 275-1164
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: 2016-09-13

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

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
I20160913000965	I	Pathology	FL	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75001)

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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: 8022027572View full group profile

Name	Specialty	State
ALEXANDER THOMAS DAMRON (MD)	-	TX
DR. JOSEPH EDWARD HUTH (M.D.)	-	FL
DR. ORESTES BORREGO (MD)	-	FL
DR. CLIFFORD H THRELKELD (DO)	-	TX

Reviews

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Frequently asked questions

Can I cross-check WILLIS BON BARROW (MD) using NPI 1922324441?

NPI 1922324441 belongs to WILLIS BON BARROW (MD); compare other details if you need extra assurance.

Is there an active status for WILLIS BON BARROW (MD)?

For scheduling context, WILLIS BON BARROW (MD) is shown as active in the registry.

What kind of doctor is WILLIS BON BARROW (MD)?

WILLIS BON BARROW (MD) is associated with Anatomic Pathology & Clinical Pathology Physician in the directory — Clinical services aligned with this taxonomy classification.

What locale is associated with WILLIS BON BARROW (MD)?

Directory geography for WILLIS BON BARROW (MD) centers on Addison, Texas.

What does 2 location(s) imply?

2 practice locations appear in the available data.