DR. RICHARD BLAIR WILLIS (M.D.) – Diagnostic Radiology Physician, NPI 1366883324
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
345 DIAGNOSTIC RADIOLOGY in UT
Provider Addresses for DR. RICHARD BLAIR WILLIS (M.D.)
1175 E 50 S Ste 141
American Fork, UT 840032845
Phone: (801) 812-4624
Type: Location
1055 N 500 W Ste 112
Provo, UT 846043305
Phone: (801) 812-4624
Type: Location
1433 N 1075 W STE 104
FARMINGTON, UT 840252746
Phone: (801) 298-1300
Fax: (801) 296-6199
Type: Location
PO BOX 25488
SALT LAKE CITY, UT 841250488
Phone: (800) 475-3698
Type: Mailing
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: 2018-08-09
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 |
|---|---|---|---|---|
| I20180809005232 | I | Diagnostic Radiology | UT | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 646 | 544 | $0 |
| 71046 | X-ray of chest, 2 views | 250 | 235 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 246 | 234 | $0 |
| 70450 | Ct scan head or brain without contrast | 155 | 152 | $0 |
| 74018 | X-ray of abdomen, 1 view | 154 | 141 | $0 |
Insurance plans in this area (ZIP 84003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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