DR. ROLAND OSWALD WILLOCK (M.D.) – Family Medicine Physician, NPI 1053372920

DR. ROLAND OSWALD WILLOCK (M.D.) is a healthcare provider. based in Menomonee falls, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 23094 (AL). The NPI Number for DR. ROLAND OSWALD WILLOCK (M.D.) is 1053372920

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROLAND OSWALD WILLOCK (M.D.)
NPI
1053372920
Phone
(414) 251-3500
Address
W217N5445 TAYLORS WOODS DR
Enumeration Date
30 March 2006
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
4142513500
Graduation Year
1998 (28 years ago)
PAC ID
0143609248
Group Practice PAC ID
8628479649
Professional Enrollment ID
I20220621001162
Address ID
WI532162298MI5434XDRXX403

Contacts

Other Endpoint
EHR
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:20State licenses:2Other names

3,050 FAMILY PRACTICE in WI

Provider Addresses for DR. ROLAND OSWALD WILLOCK (M.D.)

  • W217N5445 TAYLORS WOODS DR

    MENOMONEE FALLS, WI 530516263

    Phone: (414) 251-3500

    Fax: (414) 251-3504

    Type: Mailing

  • 5434 W CAPITOL DR STE 1

    MILWAUKEE, WI 532162298

    Phone: (414) 251-3500

    Fax: (414) 251-3504

    Type: Location

  • 9120 W CAPITOL DR

    MILWAUKEE, WI 532221622

    Phone: (414) 251-3500

    Fax: (414) 251-3504

    Type: Mailing

  • Wisconsin Avenue, Brookdale, Bethesda, Montgomery County, Maryland, 20016-2137, United States

    BETHESDA, MD 208890001

    Phone: (301) 295-4455

    Type: Location

  • 14800, Blackburn Road, Silverwood, Burtonsville, Montgomery County, Maryland, 20866, United States

    BURTONSVILLE, MD 208661304

    Phone: (301) 476-8013

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $3,411.

Total Amount is formed as General ($3,411) + Research ($0) + Ownership ($0) = $3,411.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($837).

Total Amount

$3,411

General + Research + Ownership

Payments

141

Total payment records

General Amount

$3,411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2022-06-21

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
I20220621001162IFamily PracticeWITBD

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 minutes5118$0
View full utilization report →

Insurance plans in this area (ZIP 53051)

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Reviews

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Frequently asked questions

What is the standard ID for DR. ROLAND OSWALD WILLOCK (M.D.) in the U.S.?
In the U.S., DR. ROLAND OSWALD WILLOCK (M.D.) is identified by NPI 1053372920.
Is DR. ROLAND OSWALD WILLOCK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ROLAND OSWALD WILLOCK (M.D.) as active.
What does the directory say DR. ROLAND OSWALD WILLOCK (M.D.) does?
Insurance directories may phrase it differently, but here DR. ROLAND OSWALD WILLOCK (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ROLAND OSWALD WILLOCK (M.D.)?
The directory associates DR. ROLAND OSWALD WILLOCK (M.D.) with Menomonee Falls, Wisconsin. Check all listed addresses for suites or satellite offices.
Can I export DR. ROLAND OSWALD WILLOCK (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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