TODD MICHAEL WILLCOX (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1417931007
Plastic and Reconstructive Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
147 PLASTIC AND RECONSTRUCTIVE SURGERY in WA
Provider Addresses for TODD MICHAEL WILLCOX (M.D.)
11311 BRIDGEPORT WAY SW STE 309
LAKEWOOD, WA 984993078
Phone: (253) 985-6630
Fax: (253) 985-6631
Type: Mailing
5005 MAIN ST STE 125
TACOMA, WA 984073177
Phone: (253) 759-4522
Fax: (360) 598-7505
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2023-01-12 • Largest payer in this snapshot: Integra LifeSciences Corporation ($44).
Total Amount
$44
General + Research + Ownership
Payments
1
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $44 |
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: 2005-07-06
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 |
|---|---|---|---|---|
| I20050706000600 | I | Plastic And Reconstructive Surgery | WA | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 98499)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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