AUSTIN JOE WILLIS
NPI 1023682986
Physician Assistant in Vallejo, CA

Active since May 16, 2021PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5809 Get Directions Write a Review

NPPES record last updated: May 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Austin Joe Willis NPPES

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

AUSTIN JOE WILLIS (NPI 1023682986) is an individual physician assistant in Vallejo, California and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2022).

NPPES Registry Identity

NPI1023682986
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAUSTIN JOE WILLIS
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address3476 S Leland StSan Pedro, CA 90731-6126 · (310) 922-4637
Sole ProprietorYes
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2022
Enumeration DateMay 16, 2021
NPPES CertifiedMay 16, 2021
NPI 1023682986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1310 CLUB DR, Vallejo, CA 94592

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

Austin Joe Willis 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 ID2769858059
PECOS Enrollment IDI20221011001554
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94592 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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.

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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.76
Promoting Interoperability100
Improvement Activities40
Cost59.39

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.

Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Student in an Organized Health Care Education/Training Program
1310 CLUB DR
VALLEJO, CA 94592

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 Austin Willis's NPI number?

The NPI number for Austin Willis is 1023682986. It was assigned to this individual provider in the NPPES registry on May 16, 2021.

Where is Austin Willis located?

Austin Willis practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5809.

What is Austin Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Austin Willis enrolled in Medicare?

Yes. Austin Willis 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.

When was this NPI record last updated?

The NPPES record for Austin Willis was last updated on May 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.