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CAROLYN WILLIS
NPI 1376595215
Dermatology in Mars, PA

Active since May 17, 2006PECOS Enrolled
77.5/100
CMS Quality Rating

NPPES record last updated: September 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2025, Mar 25, 2021 (2 updates tracked since 2021).

About Carolyn Willis NPPES

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

CAROLYN WILLIS (NPI 1376595215) is an individual dermatology provider in Mars, Pennsylvania, licensed in New York (226705) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376595215
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameCAROLYN WILLIS
Location Address118 GRAND AVEMars, PA 16046-3410
Mailing Address208 Logan RdGibsonia, PA 15044-6092 · (718) 344-9868
Phone(412) 501-9585
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 14, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2025
✔ NPI 1376595215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 226705
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
118 GRAND AVE, Mars, PA 16046
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn 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.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Pittsburgh Physicians
8.4 mi
Urgent Care
ARCADIA CTR, 9401 MCKNIGHT ROAD, SUITE 107
Pittsburgh, PA 15237
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1942674569 (412) 366-1528

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16046 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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 Carolyn Willis's NPI number?

The NPI number for Carolyn Willis is 1376595215. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Carolyn Willis located?

Carolyn Willis practices at 118 Grand Ave, Mars, PA 16046. The listed phone number is (412) 501-9585.

What is Carolyn Willis's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Carolyn Willis enrolled in Medicare?

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

Which organization bills Medicare for Carolyn Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Willis reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). The 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 Carolyn Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carolyn Willis was last updated on September 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.