DR. SEAN DUSTIN WILLIS DO
NPI 1710484910
Surgery in Rockville Centre, NY

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
2000 N VILLAGE AVE STE 211, ROCKVILLE CENTRE, NY 11570(516) 714-3743 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sean Dustin Willis Do NPPES

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

DR. SEAN DUSTIN WILLIS DO (NPI 1710484910) is an individual surgery provider in Rockville Centre, New York, licensed in New York (321467) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1710484910
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SEAN DUSTIN WILLISCredential: DO
Location Address2000 N VILLAGE AVE STE 211Rockville Centre, NY 11570-1001
Mailing AddressPo Box 100108Gainesville, FL 32610-0108 · (352) 265-0535 · Fax (352) 627-4173
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1710484910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 321467
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 321467 (NY)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License OS20663 (FL)
2000 N VILLAGE AVE STE 211, Rockville Centre, NY 11570

Secondary Practice Locations 3

Location 1311 N Clyde Morris BlvdDaytona Beach, FL 32114-2781 · Phone (386) 241-1020 · Fax (386) 241-1022
Location 243 New Scotland AveAlbany, NY 12208-3412 · Phone (518) 262-3125
Location 31600 SW Archer RdGainesville, FL 32610-2545 · Phone (352) 265-0535 · Fax (352) 627-4173

Accepted 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

Dr. Sean Dustin Willis Do 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 ID3870931116
PECOS Enrollment IDI20240404003046, I20250826004836
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Surgery
2000 N VILLAGE AVE STE 211
ROCKVILLE CENTRE, NY 11570
Student in an Organized Health Care Education/Training Program
2000 N VILLAGE AVE STE 211
ROCKVILLE CENTRE, NY 11570
Dietitian, Registered
2000 N VILLAGE AVE STE 211
ROCKVILLE CENTRE, NY 11570
Surgery
2000 N VILLAGE AVE STE 211
ROCKVILLE CENTRE, NY 11570
Surgery
2000 N VILLAGE AVE STE 211
ROCKVILLE CENTRE, NY 11570
Surgery
2000 N VILLAGE AVE STE 211
ROCKVILLE CENTRE, NY 11570
Surgery
2000 N VILLAGE AVE STE 211
ROCKVILLE CENTRE, NY 11570
Dietitian, Registered
2000 N VILLAGE AVE STE 211
ROCKVILLE CENTRE, NY 11570

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 Sean Willis's NPI number?

The NPI number for Sean Willis is 1710484910. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Sean Willis located?

Sean Willis practices at 2000 N Village Ave Ste 211, Rockville Centre, NY 11570. The listed phone number is (516) 714-3743.

What is Sean Willis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sean Willis enrolled in Medicare?

Yes. Sean 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.

What insurance does Sean Willis accept?

Health plans from AvMed list Sean Willis 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.

Is Sean Willis affiliated with any hospitals?

According to CMS data, Sean Willis is affiliated with Halifax Health Medical Center, Mercy Medical Center, Good Samaritan Hospital Medical Center and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Sean Willis was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.