PARK WEED WILLIS M.D.
NPI 1083907679
Family Medicine in Salt Lake City, UT

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
389 S 900 E, SALT LAKE CITY, UT 84102(385) 282-2400(385) 282-2401 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Weed Willis M.d. NPPES

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

PARK WEED WILLIS M.D. (NPI 1083907679) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (8471563-1205) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2011).

NPPES Registry Identity

NPI1083907679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePARK WEED WILLISCredential: M.D.
Location Address389 S 900 ESalt Lake City, UT 84102
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Fax(385) 282-2401
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateJuly 23, 2018
NPI 1083907679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 8471563-1205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

389 S 900 E, Salt Lake City, UT 84102

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

Park Weed Willis 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 ID7416193131
PECOS Enrollment IDI20131021001987
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 6

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.

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.
61 services61 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.
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.
23 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services17 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.
12 services12 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

Pharmacist
389 S 900 E
SALT LAKE CITY, UT 84102
Podiatrist
389 S 900 E
SALT LAKE CITY, UT 84102
Internal Medicine (Endocrinology, Diabetes & Metabolism)
389 S 900 E
SALT LAKE CITY, UT 84102
Registered Nurse (Diabetes Educator)
389 S 900 E
SALT LAKE CITY, UT 84102
Physical Therapist
389 S 900 E
SALT LAKE CITY, UT 84102
Family Medicine
389 S 900 E
SALT LAKE CITY, UT 84102
Internal Medicine
389 S 900 E
SALT LAKE CITY, UT 84102
Psychiatry & Neurology (Neurology)
389 S 900 E
SALT LAKE CITY, UT 84102

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 Park Willis's NPI number?

The NPI number for Park Willis is 1083907679. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Park Willis located?

Park Willis practices at 389 S 900 E, Salt Lake City, UT 84102. The listed phone number is (385) 282-2400.

What is Park Willis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Park Willis enrolled in Medicare?

Yes. Park 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.

What insurance does Park Willis accept?

Health plans from Select Health list Park Willis 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 Park Willis was last updated on July 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.