MICHAEL D WILLCUTTS MD
NPI 1619066149
Pediatrics - Pediatric Endocrinology in Fort Worth, TX

Q: What is Michael Willcutts's NPI number?

The NPI number for Michael Willcutts is 1619066149. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Michael Willcutts's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Michael Willcutts was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-7960(682) 885-1327 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2021, Apr 9, 2021 (2 updates tracked since 2021).

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About Michael D Willcutts Md NPPES

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

MICHAEL D WILLCUTTS MD (NPI 1619066149) is an individual pediatric endocrinology provider in Fort Worth, Texas, licensed in Texas (J4614) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1992).

NPPES Registry Identity

NPI1619066149

Entity TypeIndividualMale

Primary Taxonomy2080P0205X

Provider Legal NameMICHAEL D WILLCUTTSCredential: MD

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(682) 885-7960

Fax(682) 885-1327

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1992

Enumeration DateOctober 12, 2006

Last NPPES UpdateMay 5, 20212 updates tracked since enumeration

NPPES CertifiedMay 5, 2021

✔ NPI 1619066149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in TX · J4614

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

1500 COOPER ST, Fort Worth, TX 76104

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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 and accepts Medicare assignment

Michael D Willcutts 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 ID5092771857

PECOS Enrollment IDI20041203000710

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

67%27 patients3/55-star benchmark: 97%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KATRINA L WILLIE-MUSOMA MD

Pediatrics (Neurodevelopmental Disabilities)