DR. EMANUEL WILLIS DPM
NPI 1255392064
Podiatrist - Foot Surgery in Sumter, SC

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2630A HARDEE CV, SUMTER, SC 29150(803) 469-9255(803) 469-9253 Get Directions Write a Review

NPPES record last updated: January 23, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Emanuel Willis Dpm NPPES

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

DR. EMANUEL WILLIS DPM (NPI 1255392064) is an individual foot surgery provider in Sumter, South Carolina, licensed in South Carolina (88) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (1986).

NPPES Registry Identity

NPI1255392064
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. EMANUEL WILLISCredential: DPM
Location Address2630A HARDEE CVSumter, SC 29150-1893
Mailing Address2620 Hardee CvSumter, SC 29150-1893 · (803) 469-9255 · Fax (803) 469-9253
Fax(803) 469-9253
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1986
Enumeration DateMarch 31, 2006
Last NPPES UpdateJanuary 23, 2010
NPI 1255392064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in SC · 88
Also ListedPodiatristTaxonomy 213E00000X · License 88 (SC)
2630A HARDEE CV, Sumter, SC 29150

Other Identifiers 4

Medicare ID-Type UnspecifiedU315188022SC
MedicaidGP9925SC
MedicaidPD0886SC
Medicare UPINU31518SC

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. Emanuel Willis Dpm 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 ID8527044759
PECOS Enrollment IDI20100812000548
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
817 services331 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
267 services190 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
214 services209 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
118 services59 patients
New patient office or other outpatient visit, 30-44 minutes 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.
87 services87 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
80 services50 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

In Home Supportive Care
2630A HARDEE CV
SUMTER, SC 29150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255392064, enumerated as an "individual" on March 31, 2006.

The provider is located at 2630A HARDEE CV SUMTER, SC 29150 and the phone number is (803) 469-9255.

Podiatrist with taxonomy code 213ES0131X and a focus in Foot Surgery.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.