KENT WILLIS (D.O.) – Family Medicine Physician, NPI 1114306131

KENT WILLIS (D.O.) is a healthcare provider. based in Pleasant grove, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 10701125-1204 (UT). The NPI Number for KENT WILLIS (D.O.) is 1114306131

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KENT WILLIS (D.O.)
NPI
1114306131
Phone
(801) 756-3511
Address
830 N 2000 W
Enumeration Date
22 May 2015
Last Update Date
13 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017563511
Graduation Year
2015 (11 years ago)
PAC ID
1850667007
Group Practice PAC ID
7416197785
Professional Enrollment ID
I20180711003283
Address ID
UT840624047PL830XX2000300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for KENT WILLIS (D.O.)

  • 830 N 2000 W

    PLEASANT GROVE, UT 84062

    Phone: (801) 756-3511

    Type: Location

  • 3291 Loma Vista Rd

    Ventura, CA 930033099

    Phone: (805) 652-6100

    Fax: (805) 652-3252

    Type: Location

  • 5505 S 900 E Ste 240

    Murray, UT 841177210

    Phone: (801) 783-5011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $1,760.

Total Amount is formed as General ($1,760) + Research ($0) + Ownership ($0) = $1,760.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($596).

Total Amount

$1,760

General + Research + Ownership

Payments

97

Total payment records

General Amount

$1,760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2018-07-11

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
I20180711003283IFamily PracticeUTTBD

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 minutes203127$0
99213Established patient office or other outpatient visit, 20-29 minutes135100$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7070$0
G0444Annual depression screening, 5 to 15 minutes6969$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5611$0
View full utilization report →

Insurance plans in this area (ZIP 84062)

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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: 7416197785View full group profile

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.

Frequently asked questions

Does KENT WILLIS (D.O.) have a public NPI I can cite?
Public records show KENT WILLIS (D.O.) under NPI 1114306131.
Is KENT WILLIS (D.O.)'s NPI status active today?
Active status means KENT WILLIS (D.O.)'s NPI record is not deactivated in the public file.
What does the directory say KENT WILLIS (D.O.) does?
Insurance directories may phrase it differently, but here KENT WILLIS (D.O.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KENT WILLIS (D.O.) in Pleasant Grove, Utah?
For routing, start with Pleasant Grove, Utah for KENT WILLIS (D.O.), then verify phone and hours locally.
Can I export KENT WILLIS (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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