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MARK ALLEN WILLARD MD
NPI 1013053503
Internal Medicine in New Albany, OH

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
14.93/100
CMS Quality Rating
7277 SMITHS MILL RD, SUITE#250, NEW ALBANY, OH 43054(614) 221-3725(614) 221-5613 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Jul 6, 2023 (2 updates tracked since 2023).

About Mark Allen Willard Md NPPES

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

MARK ALLEN WILLARD MD (NPI 1013053503) is an individual internal medicine provider in New Albany, Ohio, licensed in Ohio (35080144) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Southern Illinois University School Of Medicine (1998).

NPPES Registry Identity

NPI1013053503
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK ALLEN WILLARDCredential: MD
Location Address7277 SMITHS MILL RD, SUITE#250New Albany, OH 43054-8195
Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961 · (614) 221-3725 · Fax (614) 221-5613
Phone(614) 221-3725
Fax(614) 221-5613
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1998
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1013053503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35080144
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7277 SMITHS MILL RD, New Albany, OH 43054
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Other Identifiers 1

Medicaid2285129OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Allen Willard Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608761614
PECOS Enrollment IDI20040218000848
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
260 services251 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
232 services232 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
229 services227 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
228 services225 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
167 services167 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services120 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

14.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality26.66
Improvement Activities0
Cost14.21

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%620 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

KRISTI VOSS JOHNSTON PT
Physical Therapist
7277 SMITHS MILL RD, SUITE 100
NEW ALBANY, OH 43054
Franklin County (614) 855-8030
MR. JOHN MATTHEW LANNING II PA-C
Physician Assistant
7277 SMITHS MILL RD, SUITE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
DR. ROBERT HINTON DPT
Physical Therapist
7277 SMITHS MILL RD, 100
NEW ALBANY, OH 43054
Franklin County (614) 855-8030
WHITE FENCE SURGICAL SUITES, LLC
Clinic/Center (Ambulatory Surgical)
7277 SMITHS MILL RD, SUITE 300
NEW ALBANY, OH 43054
Franklin County (786) 251-5741
EMILY EVANS
Physical Therapist
7277 SMITHS MILL RD, #100
NEW ALBANY, OH 43054
Franklin County (614) 855-8030
MR. BRADLEY M WOLF PA-C
Physician Assistant
7277 SMITHS MILL RD
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
MR. DEREK MICHAEL EGGERS PROVIDER CODE 22
Specialist/Technologist (Athletic Trainer)
7277 SMITHS MILL RD
NEW ALBANY, OH 43054
Franklin County (614) 440-1577
WHITE FENCE ANESTHESIA LLC
Anesthesiology
7277 SMITHS MILL RD, SUITE 300
NEW ALBANY, OH 43054
Franklin County (786) 251-5741

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 Mark Willard's NPI number?

The NPI number for Mark Willard is 1013053503. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Mark Willard located?

Mark Willard practices at 7277 Smiths Mill Rd Suite#250, New Albany, OH 43054. The listed phone number is (614) 221-3725.

What is Mark Willard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Willard enrolled in Medicare?

Yes. Mark Willard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Willard accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Mark Willard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Willard affiliated with any hospitals?

According to CMS data, Mark Willard is affiliated with Riverside Methodist Hospital, Grant Medical Center, Mount Carmel East & West, Grady Memorial Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Mark Willard was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.