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RANDALL NORMAN WILLARD MD
NPI 1700880101
Emergency Medicine in Wilmington, NC

Active since June 13, 2005PECOS Enrolled
92.04/100
CMS Quality Rating
4402 SHIPYARD BLVD, WILMINGTON, NC 28403(910) 452-1400(910) 332-1072 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Norman Willard Md NPPES

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

RANDALL NORMAN WILLARD MD (NPI 1700880101) is an individual emergency medicine provider in Wilmington, North Carolina, licensed in North Carolina (200400437) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700880101
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRANDALL NORMAN WILLARDCredential: MD
Location Address4402 SHIPYARD BLVDWilmington, NC 28403-6161
Mailing Address4402 Shipyard BlvdWilmington, NC 28403-6161 · (910) 452-1400 · Fax (910) 332-1072
Phone(910) 452-1400
Fax(910) 332-1072
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateNovember 24, 2009
✔ NPI 1700880101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 200400437
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4402 SHIPYARD BLVD, Wilmington, NC 28403
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Other Identifiers 8

Medicaid891368YNC
Medicare UPINI13948NC
MedicaidQ0043GSC
Other1368YNC · Bcbs
Medicare PIN2029986CNC
Medicare PIN2029986ENC
OtherD7960NC · Medcost
OtherP00311531NC · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall Norman Willard Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
400 services385 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
288 services280 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
126 services123 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
90 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

92.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.83
Improvement Activities40
Cost100

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.

AARON JOSEPH PARKER MD
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 202-3363
RYA ELISABETH LAWRENCE PA-C
Physician Assistant
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 791-0075
ECEP II, PA
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 202-3363
WILLIAM EDISON RIGSBEE PA
Physician Assistant
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400
RUSSELL ANTHONY INCATASCIATO D.O.
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400
KEVIN JOHN REESE MD
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400
JAMES ARTHUR HELM PA-C
Physician Assistant (Medical)
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400
MICHAEL ROBERT OTT DO
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400

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 Randall Willard's NPI number?

The NPI number for Randall Willard is 1700880101. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Randall Willard located?

Randall Willard practices at 4402 Shipyard Blvd, Wilmington, NC 28403. The listed phone number is (910) 452-1400.

What is Randall Willard's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Randall Willard enrolled in Medicare?

Yes. Randall Willard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Willard was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.