RANDALL NORMAN WILLARD MD
NPI 1700880101
Emergency Medicine in Wilmington, NC
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
Specialties & Licenses
Other Identifiers 8
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randall Norman Willard Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Randall Willard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 710 clinicians in this Medicare group
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 75 clinicians in this Medicare group
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 335 clinicians in this Medicare group
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 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.
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.
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.
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.
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.
Which organizations bill Medicare for Randall Willard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Willard reassigns Medicare benefits to 3 organizations: Novant Health Medical Group Coastal Region, LLC (Wilmington, NC), Ecep II PA (Wilmington, NC) and Novant Health New Hanover Regional Medical Center LLC (Wilmington, NC). 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 Randall Willard'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 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.
# Randall Norman Willard, MD · NPI 1700880101
Emergency Medicine physician in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since June 13, 2005.
## Identity
- **NPI:** 1700880101 (Entity type: Individual)
- **Enumerated:** June 13, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 200400437 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4402 SHIPYARD BLVD, Wilmington, NC 28403-6161
- **Phone:** (910) 452-1400 · **Fax:** (910) 332-1072
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group Coastal Region, LLC (NPI 1093395691, Wilmington, NC); Ecep II PA (NPI 1992871917, Wilmington, NC); Novant Health New Hanover Regional Medical Center LLC (NPI 1396332482, Wilmington, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2009
- **Other identifiers:** Medicaid 891368Y (NC); Medicare UPIN I13948 (NC); Medicaid Q0043G (SC); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1700880101) · Data from the CMS NPPES public registry.