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ZACHARY RANDALL WILLIS
NPI 1265041073
Physician Assistant in Potsdam, NY

Active since July 28, 2020PECOS Enrolled
95.38/100
CMS Quality Rating
50 LEROY ST, POTSDAM, NY 13676(315) 265-3300 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Zachary Randall Willis NPPES

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

ZACHARY RANDALL WILLIS (NPI 1265041073) is an individual physician assistant in Potsdam, New York, licensed in New York (025386) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265041073
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZACHARY RANDALL WILLIS
Location Address50 LEROY STPotsdam, NY 13676-1799
Mailing Address568 Cr 35Potsdam, NY 13676-3143 · (443) 417-6341
Phone(315) 265-3300
Sole ProprietorNo
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1265041073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 025386
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.
50 LEROY ST, Potsdam, NY 13676
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Randall Willis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
165 services162 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
111 services109 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.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

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.

JULIE LYNN LAWLESS LCSW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
DR. KYLE FLINT PHARMD, RPH
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
HEATHER MACKINNON
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KARYN SULLIVAN PA
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 782-2620
COREEN BOHL MSW, LCSW, ACHP-SW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KELSEY MILLER
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 261-5511
CHRISTINA KASHMER PA
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
YASMEEN ZAIDI MS
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300

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 Zachary Willis's NPI number?

The NPI number for Zachary Willis is 1265041073. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Zachary Willis located?

Zachary Willis practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (315) 265-3300.

What is Zachary Willis's specialty?

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

Is Zachary Willis enrolled in Medicare?

Yes. Zachary Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Willis was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.