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JASON WILLIS MD
NPI 1679603153
Internal Medicine in Ardmore, OK

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
1101 12TH AVE, NW, MERCY ARDMORE HOSPITAL WOUND CARE CENTER, ARDMORE, OK 73401(580) 220-6290 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Willis Md NPPES

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

JASON WILLIS MD (NPI 1679603153) is an individual internal medicine provider in Ardmore, Oklahoma, licensed in Oklahoma (29655) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1679603153
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJASON WILLISCredential: MD
Location Address1101 12TH AVE, NW, MERCY ARDMORE HOSPITAL WOUND CARE CENTERArdmore, OK 73401
Mailing AddressPo Box 848371Boston, MA 02284-8371 · (580) 920-9000 · Fax (580) 920-9159
Phone(580) 220-6290
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 6, 2007
Last NPPES UpdateOctober 19, 2015
✔ NPI 1679603153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 29655
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1101 12TH AVE, NW, Ardmore, OK 73401
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Other Identifiers 1

Medicare UPINI30901

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

Jason 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 ID8921043019
PECOS Enrollment IDI20230308002817
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 73401 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Jason Willis's NPI number?

The NPI number for Jason Willis is 1679603153. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Jason Willis located?

Jason Willis practices at 1101 12th Ave, NW Mercy Ardmore Hospital Wound Care Center, Ardmore, OK 73401. The listed phone number is (580) 220-6290.

What is Jason Willis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jason Willis enrolled in Medicare?

Yes. Jason 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.

When was this NPI record last updated?

The NPPES record for Jason Willis was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.