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WAYNE S WILLIS MD
NPI 1003880667
Family Medicine in Pensacola, FL

Active since February 13, 2006PECOS Enrolled
3111 PEGGY BOND DR, PENSACOLA, FL 32504(850) 438-9755(850) 438-0699 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wayne S Willis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE S WILLIS MD (NPI 1003880667) is an individual family medicine provider in Pensacola, Florida, licensed in Florida (ME25944) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003880667
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWAYNE S WILLISCredential: MD
Location Address3111 PEGGY BOND DRPensacola, FL 32504-5018
Mailing Address3111 Peggy Bond DrPensacola, FL 32504-5018 · (850) 438-9755 · Fax (850) 438-0699
Phone(850) 438-9755
Fax(850) 438-0699
Sole ProprietorYes
Enumeration DateFebruary 13, 2006
Last NPPES UpdateFebruary 5, 2013
✔ NPI 1003880667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME25944
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3111 PEGGY BOND DR, Pensacola, FL 32504
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Other Identifiers 5

Medicaid069681100FL
Medicare PIN17364XFL
Other591-83896AL · Blue Cross Blue Shield
Other17364FL · Blue Cross Blue Shield
Medicare UPIND53251

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne S Willis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Wayne Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Department Of Health
4.0 mi
Public Health or Welfare
1295 W FAIRFIELD DR
Pensacola, FL 32501
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1295763712 (850) 595-6417

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAYNE S. WILLIS MD LLC
Clinic/Center (Primary Care)
3111 PEGGY BOND DR
PENSACOLA, FL 32504
Escambia County (850) 438-9755
WAYNE S WILLIS MD LLC
Family Medicine
3111 PEGGY BOND DR
PENSACOLA, FL 32504
Escambia County (850) 438-9755
CONTACT LENS & EYE CARE OF PENSACOLA INC
Optometrist
3111 PEGGY BOND DR
PENSACOLA, FL 32504
Escambia County (850) 479-7379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Willis's NPI number?

The NPI number for Wayne Willis is 1003880667. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Wayne Willis located?

Wayne Willis practices at 3111 Peggy Bond Dr, Pensacola, FL 32504. The listed phone number is (850) 438-9755.

What is Wayne Willis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wayne Willis enrolled in Medicare?

Yes. Wayne Willis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wayne Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Willis reassigns Medicare benefits to Florida Department Of Health (Pensacola, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wayne Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wayne Willis was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.