JARED WILLARD M.D.
NPI 1619362852
Internal Medicine - Sports Medicine in Champaign, IL

Q: What is Jared Willard's NPI number?

The NPI number for Jared Willard is 1619362852. It was assigned to this individual provider in the NPPES registry on April 4, 2015.

Q: What is Jared Willard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jared Willard was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 04, 2015PECOS EnrolledAccepts Medicare Assignment

3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822(217) 366-1237(217) 366-1303 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Dec 13, 2021, Oct 15, 2020 and 3 more (6 updates tracked since 2016).

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About Jared Willard M.d. NPPES

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

JARED WILLARD M.D. (NPI 1619362852) is an individual sports medicine provider in Champaign, Illinois, licensed in Illinois (036155928) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2015).

NPPES Registry Identity

NPI1619362852

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NameJARED WILLARDCredential: M.D.

Location Address3101 FIELDS SOUTH DRChampaign, IL 61822-3743

Mailing Address101 W University AveChampaign, IL 61820-3981 · (217) 366-2632

Phone(217) 366-1237

Fax(217) 366-1303

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015

Enumeration DateApril 4, 2015

Last NPPES UpdateJune 3, 20256 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1619362852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

Licenses✔ Licensed in IL · 036155928✔ Licensed in TN · 0000058974

Definition

An internist 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 healthcare of the individual.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0000058974 (TN)

3101 FIELDS SOUTH DR, Champaign, IL 61822

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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

Jared Willard M.d. 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 ID2961793286

PECOS Enrollment IDI20210827002569

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 Jared Willard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christie Clinic, PLLC

4.2 mi

Internal Medicine

101 W UNIVERSITY AVE
Champaign, IL 61820

Reassigned Medicare billing, Illinois enrollment
289 clinicians in this Medicare group

NPI 1871523829 (217) 366-1200

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 10

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

1,750 services21 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.

246 services146 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

129 services71 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

128 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

112 services112 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

73 services59 patients

Hospital Affiliations CMS Care Compare 2

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141317

Location1120 N Melvin StreetGibson City, IL 60936 · Ford County

Emergency services Birthing friendly

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.

MRS. ANGELA J CUSICK P.T.

Physical Therapist