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DR. EMMETT C WILLIS IV MD
NPI 1730281650
Emergency Medicine in Bloomington, IN

Active since September 01, 2006PECOS Enrolled
75/100
CMS Quality Rating
601 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-6821 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jun 10, 2019 (2 updates tracked since 2019).

About Dr. Emmett C Willis Iv Md NPPES

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

DR. EMMETT C WILLIS IV MD (NPI 1730281650) is an individual emergency medicine provider in Bloomington, Indiana, licensed in North Carolina (2007-00783) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730281650
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. EMMETT C WILLIS IVCredential: MD
Location Address601 W 2ND STBloomington, IN 47403-2317
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255 · Fax (336) 716-3202
Phone(812) 353-6821
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1730281650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NC · 2007-00783✔ Licensed in IN · 01057781A
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.
601 W 2ND ST, Bloomington, IN 47403
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Other Identifiers 4

Other01057781AIN · In License
Other2007-00783NC · Nc License
Other01057781BIN · Csr
Medicaid200446520IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emmett C Willis Iv 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 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.

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.
173 services167 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.
121 services118 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

DR. MICHAEL TIM DUNFEE M.D.
Anesthesiology
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 334-8958
LAURIE M EYNON
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9568
ROBERT G PURSELL NP
Nurse Practitioner (Family)
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9515
DAVID A DUNN D.O.
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Monroe County (812) 353-2317
DR. HOWIS YVETTE AROS MD
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9515
ERIN D WILSON
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9568
ALVIN PERRY GRIFFITH M.D.
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-5603
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9940

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 Emmett Willis's NPI number?

The NPI number for Emmett Willis is 1730281650. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Emmett Willis located?

Emmett Willis practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-6821.

What is Emmett Willis's specialty?

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

Is Emmett Willis enrolled in Medicare?

Yes. Emmett Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emmett Willis was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.