DAVID RYAN WILLINGHAM M.D.
NPI 1770928145
Family Medicine in Temple, TX

Q: What is David Willingham's NPI number?

The NPI number for David Willingham is 1770928145. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Q: What is David Willingham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for David Willingham was last updated on February 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 30, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1402 W AVENUE H, TEMPLE, TX 76504(254) 771-8401(254) 771-8493 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About David Ryan Willingham M.d. NPPES

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

DAVID RYAN WILLINGHAM M.D. (NPI 1770928145) is an individual family medicine provider in Temple, Texas, licensed in Texas (BP10047348) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2013).

NPPES Registry Identity

NPI1770928145

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID RYAN WILLINGHAMCredential: M.D.

Location Address1402 W AVENUE HTemple, TX 76504-5342

Mailing Address1402 W Avenue HTemple, TX 76504-5342 · (254) 771-8414

Phone(254) 771-8401

Fax(254) 771-8493

Sole ProprietorYes

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2013

Enumeration DateApril 30, 2013

Last NPPES UpdateFebruary 8, 2016

✔ NPI 1770928145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · BP10047348

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1402 W AVENUE H, Temple, TX 76504

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Other Identifiers 1

OtherBP10047348TX · Texas Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Ryan Willingham M.d. 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 ID8628366838

PECOS Enrollment IDI20161004000450

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.

Medicare Billing Reassignment

Medicare enrollment records show David Willingham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Area Primary Care, PLLC

60 mi

Family Medicine

2900 N QUINLAN PARK RD, SUITE 430
Austin, TX 78732

Reassigned Medicare billing, Texas enrollment
20 clinicians in this Medicare group

NPI 1023287976 (512) 266-8877

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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

350 services188 patients

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.

201 services159 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

150 services150 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

29 services14 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

25 services25 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

24 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450152

Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County

Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450431

Location919 E 32nd StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76504 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

96%2,423 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%763 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SARAH K THOMAS DO

Family Medicine