TED S WILLIS MD
NPI 1548236235
Radiology - Diagnostic Radiology in Edina, MN

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
3600 MINNESOTA DR STE 800, EDINA, MN 55435(952) 595-1301(612) 294-4903 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2025, Jul 11, 2022, Sep 19, 2016 (3 updates tracked since 2016).

About Ted S Willis Md NPPES

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

TED S WILLIS MD (NPI 1548236235) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Texas (H2908) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548236235
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTED S WILLISCredential: MD
Location Address3600 MINNESOTA DR STE 800Edina, MN 55435-7915
Mailing Address3600 Minnesota Dr Ste 800Edina, MN 55435-7915 · (952) 595-1301 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 23, 2006
Last NPPES UpdateAugust 20, 20253 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1548236235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TX · H2908✔ Licensed in ME · MD25843
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3600 MINNESOTA DR STE 800, Edina, MN 55435

Secondary Practice Locations 2

Location 111937 US Highway 271Tyler, TX 75708-3154 · Phone (903) 877-7777
Location 239000 Bob Hope DrRancho Mirage, CA 92270-3221 · Phone (760) 340-3911

Other Identifiers 2

OtherTIN PLUS113TX · Tricare
Medicaid134481406TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ted S 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 ID143287896
PECOS Enrollment IDI20091027000899, I20221006002218
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 Reassignments

19

Medicare enrollment records show Ted Willis reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
3600 MINNESOTA DR STE 800
Edina, MN 55435
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Virtual Radiologic Professionals Of Texas I, PA
  • 53 clinicians in this Medicare group
Critical Access
49725 COUNTY 83
Staples, MN 56479
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
Critical Access
2042 JUNIPER AVE
Slayton, MN 56172
  • Reassigned Medicare billing, Minnesota enrollment
  • 87 clinicians in this Medicare group
Urology
804 W JOURDAN ST
Newton, IL 62448
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
Diagnostic Radiology
210 25TH AVE N STE 602
Nashville, TN 37203
  • Reassigned Medicare billing, Texas enrollment
  • 86 clinicians in this Medicare group
Diagnostic Radiology
5959 PARK AVE
Memphis, TN 38119
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Neuromusculoskeletal Medicine, Sports Medicine
11937 US HIGHWAY 271
Tyler, TX 75708
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
  • 299 clinicians in this Medicare group
Diagnostic Radiology
100 CARNIE BLVD STE B5
Voorhees, NJ 08043
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
Diagnostic Radiology
175 MADISON AVE
Mount Holly, NJ 08060
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
Diagnostic Radiology
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 30

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
244 services235 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.
169 services164 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
111 services109 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
92 services91 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
89 services89 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
76 services75 patients

Hospital Affiliations CMS Care Compare 5

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Vascular & Interventional Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435

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 Ted Willis's NPI number?

The NPI number for Ted Willis is 1548236235. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Ted Willis located?

Ted Willis practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1301.

What is Ted Willis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ted Willis enrolled in Medicare?

Yes. Ted 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.

Which organizations bill Medicare for Ted Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ted Willis reassigns Medicare benefits to 19 organizations: Virtual Radiologic Professionals Of Texas I, P.A. (Edina, MN), Lakewood Health System (Staples, MN), County Of Murray (Slayton, MN), Crawford Hospital District (Newton, IL), Radiology Alliance PC (Nashville, TN) and 14 more organizations, listed in the Medicare section above. Each 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 Ted Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ted Willis accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, Taro Health and Wellmark Health Plan of Iowa, Inc. list Ted 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.

Is Ted Willis affiliated with any hospitals?

According to CMS data, Ted Willis is affiliated with King's Daughters' Medical Center, Cox Medical Centers, Cox Medical Center Branson, Portsmouth Regional Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for Ted Willis was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.