1. Home
  2. Directory
  3. Oklahoma
  4. Ardmore
  5. Internal Medicine
  6. NPI Profile

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: October 18, 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
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI30901

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jason Willis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healogics Specialty Physicians Of Oklahoma, PLLC
79 mi
Undersea and Hyperbaric Medicine
2716 W GORE BLVD, SUITE C
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 56 clinicians in this Medicare group
NPI 1144625740 (580) 357-3280
Mercy Clinic Oklahoma Communities
101 mi
Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
NPI 1386874550 (405) 752-3333
Access 360 Care Inc
104 mi
Internal Medicine
4381 W GREEN OAKS BLVD STE 103
Arlington, TX 76016
  • Reassigned Medicare billing, Texas enrollment
  • 20 clinicians in this Medicare group
NPI 1962156802 (817) 200-4469
Eagle Butte Indian Health Service Hospital
777 mi
Public Health or Welfare
24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625
  • Reassigned Medicare billing, Texas enrollment
  • 282 clinicians in this Medicare group
NPI 1558395848 (605) 964-7724
Mmc & Pacific Labs, LLC
Family Medicine
JKR BUILDING BEACH ROAD GARAPAN
Saipan, MP 96950
  • Reassigned Medicare billing, Northern Mariana Islands enrollment
  • 3 clinicians in this Medicare group
NPI 1588208862 (670) 285-1401

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 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.

Which organizations bill Medicare for Jason Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Willis reassigns Medicare benefits to 5 organizations: Healogics Specialty Physicians Of Oklahoma, PLLC (Lawton, OK), Mercy Clinic Oklahoma Communities (Oklahoma City, OK), Access 360 Care Inc (Arlington, TX), Eagle Butte Indian Health Service Hospital (Eagle Butte, SD) and Mmc & Pacific Labs, LLC (Saipan, MP). 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 Jason 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 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 11 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.