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CHARLES HERBERT WILLETT PA-C
NPI 1700439874
Physician Assistant - Surgical in Gilbert, AZ

Active since July 18, 2019PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DR. STE 450, GILBERT, AZ 85234(480) 256-3613(480) 256-4734 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2022, Jul 18, 2019 (2 updates tracked since 2019).

About Charles Herbert Willett Pa-c NPPES

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

CHARLES HERBERT WILLETT PA-C (NPI 1700439874) is an individual surgical provider in Gilbert, Arizona, licensed in Arizona (8876) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700439874
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCHARLES HERBERT WILLETTCredential: PA-C
Location AddressBANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DR. STE 450Gilbert, AZ 85234
Mailing AddressBanner Md Anderson Cancer Center, 2940 E. Banner Gateway Dr. Ste 450Gilbert, AZ 85234 · (480) 256-3613 · Fax (480) 256-4734
Phone(480) 256-3613
Fax(480) 256-4734
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 18, 2019
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1700439874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · 8876
BANNER MD ANDERSON CANCER CENTER, Gilbert, AZ 85234
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

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

Charles Herbert Willett Pa-c 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 ID547598518
PECOS Enrollment IDI20220117000566
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.

Areas of Expertise CMS Part B claims 3

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.

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.
131 services90 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
32 services23 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
24 services17 patients

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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMIT MADAN MD
Internal Medicine (Hematology & Oncology)
BANNER MD ANDERSON CANCER CENTER, 2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
RICHELLE B MILLER NP
Nurse Practitioner (Adult Health)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
RACHAEL YASUDA PA
Physician Assistant
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. LEWIS KIE SHIN MD
Radiology (Body Imaging)
BANNER MD ANDERSON CANCER CENTER, 2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MS. TESSA LOUISE MEYER FNP
Nurse Practitioner (Family)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. JOEL R MEYER MD
Radiology (Diagnostic Radiology)
BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE SUITE 350
GILBERT, AZ 85234
Maricopa County (480) 256-6444
SARAH E NICHOLAS MD
Radiology (Radiation Oncology)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
RAJESH RAMANATHAN MD
Surgery (Surgical Oncology)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444

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 Charles Willett's NPI number?

The NPI number for Charles Willett is 1700439874. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Charles Willett located?

Charles Willett practices at Banner MD Anderson Cancer Center 2940 E. Banner Gateway Dr. Ste 450, Gilbert, AZ 85234. The listed phone number is (480) 256-3613.

What is Charles Willett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Charles Willett enrolled in Medicare?

Yes. Charles Willett 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.

What insurance does Charles Willett accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Charles Willett 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.

When was this NPI record last updated?

The NPPES record for Charles Willett was last updated on January 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.