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DR. JON R WILLISON DDS
NPI 1013293760
Dentist - Endodontics in Fort Collins, CO

Active since October 26, 2011Opted out of Medicare · through Jan 23, 2028
1903 WILMINGTON DR UNIT 101, FORT COLLINS, CO 80528(970) 568-5255 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2019, Nov 13, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Jon R Willison Dds NPPES

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

DR. JON R WILLISON DDS (NPI 1013293760) is an individual endodontics provider in Fort Collins, Colorado, licensed in Colorado (00203801) and active in the NPI registry since October 2011. He has opted out of Medicare through January 23, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013293760
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JON R WILLISONCredential: DDS
Location Address1903 WILMINGTON DR UNIT 101Fort Collins, CO 80528-6100
Mailing Address1903 Wilmington Dr Unit 101Fort Collins, CO 80528-6100 · (970) 568-5255
Phone(970) 568-5255
Sole ProprietorNo
Enumeration DateOctober 26, 2011
Last NPPES UpdateDecember 11, 20194 updates tracked since enumeration
✔ NPI 1013293760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in CO · 00203801✔ Licensed in WY · 1517
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2013042229 (MO), DEN.00203801 (CO)
1903 WILMINGTON DR UNIT 101, Fort Collins, CO 80528
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Secondary Practice Locations 2

Location 12996 Ginnala Dr Ste 101Loveland, CO 80538-2832 · Phone (970) 292-6703
Location 21950 Bluegrass Cir Ste 120Cheyenne, WY 82009-7363 · Phone (307) 222-6665

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jon R Willison Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 23, 2016 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2016
Opt-Out In Effect ThroughJanuary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80528 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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 4

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

DAVID M. JONES, D.D.S., P.C.
Dentist (Endodontics)
1903 WILMINGTON DR UNIT 101
FORT COLLINS, CO 80528
Larimer County (970) 568-5255
DR. TYLER MARK WHITING DDS
Dentist (Endodontics)
1903 WILMINGTON DR UNIT 101
FORT COLLINS, CO 80528
Larimer County (970) 568-5255
ENDODONTICS OF THE ROCKIES, LLC
Dentist (Endodontics)
1903 WILMINGTON DR UNIT 101
FORT COLLINS, CO 80528
Larimer County (970) 568-5255
DR. BRANDON R. GRIFFIN DDS
Dentist (Endodontics)
1903 WILMINGTON DR UNIT 101
FORT COLLINS, CO 80528
Larimer County (970) 568-5255

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 Jon Willison's NPI number?

The NPI number for Jon Willison is 1013293760. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Where is Jon Willison located?

Jon Willison practices at 1903 Wilmington Dr Unit 101, Fort Collins, CO 80528. The listed phone number is (970) 568-5255.

What is Jon Willison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jon Willison enrolled in Medicare?

No. Jon Willison has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jon Willison accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 9 other insurers list Jon Willison 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.

When was this NPI record last updated?

The NPPES record for Jon Willison was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.