DR. WILLIS TYLER NICHOLS M.D.
NPI 1063722684
Surgery in Foley, AL

Active since October 15, 2010PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1711 N MCKENZIE ST STE 201, FOLEY, AL 36535(251) 424-1620(251) 952-6620 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2022, Nov 13, 2020, Sep 21, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Willis Tyler Nichols M.d. NPPES

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

DR. WILLIS TYLER NICHOLS M.D. (NPI 1063722684) is an individual surgery provider in Foley, Alabama, licensed in Alabama (34161) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2010).

NPPES Registry Identity

NPI1063722684
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. WILLIS TYLER NICHOLSCredential: M.D.
Location Address1711 N MCKENZIE ST STE 201Foley, AL 36535-2282
Mailing Address1711 N Mckenzie St Ste 201Foley, AL 36535-2282 · (251) 949-3479 · Fax (251) 949-3434
Fax(251) 952-6620
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateOctober 15, 2010
Last NPPES UpdateOctober 14, 20254 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1063722684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AL · 34161
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1711 N MCKENZIE ST STE 201, Foley, AL 36535

Other Identifiers 4

Medicaid214769AL
Medicaid105926100FL
Medicaid211911AL
Medicaid00187592MS

Accepted 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

Dr. Willis Tyler Nichols M.d. 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 ID8325287279
PECOS Enrollment IDI20150610001102
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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services38 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.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services21 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.
25 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36535 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

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…
17%78 patients1/55-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.

Other Providers at the Same Location NPPES 5

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

Surgery
1711 N MCKENZIE ST STE 201
FOLEY, AL 36535
Surgery
1711 N MCKENZIE ST STE 201
FOLEY, AL 36535
Surgery
1711 N MCKENZIE ST STE 201
FOLEY, AL 36535
Surgery
1711 N MCKENZIE ST STE 201
FOLEY, AL 36535
Surgery
1711 N MCKENZIE ST STE 201
FOLEY, AL 36535

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 Willis Nichols's NPI number?

The NPI number for Willis Nichols is 1063722684. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Willis Nichols located?

Willis Nichols practices at 1711 N Mckenzie St Ste 201, Foley, AL 36535. The listed phone number is (251) 424-1620.

What is Willis Nichols's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Willis Nichols enrolled in Medicare?

Yes. Willis Nichols 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 Willis Nichols accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Willis Nichols 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 Willis Nichols was last updated on October 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.