WILLOWBEND MEDICAL SERVICES PLLC
NPI 1073988135
Specialist/Technologist, Other - Surgical Assistant in Plano, TX

Active since December 01, 2015
2633 DALLAS PKWY, SUITE 100, PLANO, TX 75093(972) 403-7733 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2016, Dec 2, 2015 (2 updates tracked since 2015).

About Willowbend Medical Services Pllc NPPES

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

WILLOWBEND MEDICAL SERVICES PLLC (NPI 1073988135) is a healthcare organization registered as a surgical assistant in Plano, Texas and active in the NPI registry since December 2015. The organization lists Jeremiah Graff, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1073988135
Entity TypeOrganization
Primary Taxonomy246ZC0007X
Legal Business NameWILLOWBEND MEDICAL SERVICES PLLC
Location Address2633 DALLAS PKWY, SUITE 100Plano, TX 75093-4703
Mailing Address2633 Dallas Pkwy, Suite 100Plano, TX 75093-4703 · (972) 403-7733
Organization SubpartNo
Authorized OfficialJeremiah GraffOwner/physician · (972) 403-7733
Enumeration DateDecember 1, 2015
Last NPPES UpdateFebruary 15, 20162 updates tracked since enumeration
✔ NPI 1073988135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in TX · 136983
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
2633 DALLAS PKWY, Plano, TX 75093

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willowbend Medical Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Willowbend Medical Services PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Podiatry
NPI 1689831950
2633 DALLAS PKWY STE 100
Plano, TX 75093
(972) 403-7733
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1750368957
6957 W PLANO PKWY STE 2400
Plano, TX 75093
(214) 919-4635
✔ PECOS✔ Accepts Medicare1.2 mi
Anesthesiology
NPI 1235220468
4112 RYAN LN
Richardson, TX 75082
(214) 499-1535
✔ PECOS✔ Accepts Medicare11 mi

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

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 Willowbend Medical Services PLLC's NPI number?

The NPI number for Willowbend Medical Services PLLC is 1073988135. It was assigned to this organization in the NPPES registry on December 1, 2015.

Where is Willowbend Medical Services PLLC located?

Willowbend Medical Services PLLC is located at 2633 Dallas Pkwy Suite 100, Plano, TX 75093. The listed phone number is (972) 403-7733.

What is Willowbend Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Is Willowbend Medical Services PLLC enrolled in Medicare?

Yes. Willowbend Medical Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willowbend Medical Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Willowbend Medical Services PLLC, in Anesthesiology and Podiatry. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Willowbend Medical Services PLLC was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.