DR. DEVIN R WILLIS MD
NPI 1295175057
Family Medicine - Sports Medicine in Wildwood, MO

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
16555 MANCHESTER RD STE 100, WILDWOOD, MO 63040(636) 458-0646(636) 458-5008 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2022, Aug 14, 2019, Oct 31, 2017 (3 updates tracked since 2017).

About Dr. Devin R Willis Md NPPES

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

DR. DEVIN R WILLIS MD (NPI 1295175057) is an individual sports medicine provider in Wildwood, Missouri, licensed in Missouri (2016023372) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1295175057
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. DEVIN R WILLISCredential: MD
Location Address16555 MANCHESTER RD STE 100Wildwood, MO 63040
Mailing Address16555 Manchester Rd Ste 100Wildwood, MO 63040-1220 · (636) 458-0646 · Fax (636) 458-5008
Fax(636) 458-5008
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateNovember 10, 20223 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
NPI 1295175057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in MO · 2016023372
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedHospitalistTaxonomy 208M00000X · License 2016023372 (MO)
16555 MANCHESTER RD STE 100, Wildwood, MO 63040

Secondary Practice Locations 3

Location 116555 Manchester Rd Ste 110Wildwood, MO 63040-1220 · Phone (636) 405-3155 · Fax (636) 405-3162
Location 24921 Parkview Pl, Ste 6A/6B/12ASaint Louis, MO 63110 · Phone (314) 747-2500 · Fax (314) 747-2598
Location 311133 Dunn Rd Ste 2427Saint Louis, MO 63136-6163 · Phone (314) 653-5643

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. Devin R Willis Md 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 ID7012143449
PECOS Enrollment IDI20170913002736
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63040 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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

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

Student in an Organized Health Care Education/Training Program
16555 MANCHESTER RD STE 100
WILDWOOD, MO 63040

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 Devin Willis's NPI number?

The NPI number for Devin Willis is 1295175057. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Devin Willis located?

Devin Willis practices at 16555 Manchester Rd Ste 100, Wildwood, MO 63040. The listed phone number is (636) 458-0646.

What is Devin Willis's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Devin Willis enrolled in Medicare?

Yes. Devin 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.

Is Devin Willis affiliated with any hospitals?

According to CMS data, Devin Willis is affiliated with Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Devin Willis was last updated on November 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.