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DR. MICHAEL WILLIS D.P.M.
NPI 1780032706
Podiatrist - Foot & Ankle Surgery in Kingsport, TN

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
1 SHERIDAN SQ STE 102, KINGSPORT, TN 37660(423) 722-5200 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Jun 18, 2021, Apr 22, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Michael Willis D.p.m. NPPES

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

DR. MICHAEL WILLIS D.P.M. (NPI 1780032706) is an individual foot & ankle surgery provider in Kingsport, Tennessee, licensed in Tennessee (DPMOOOOOOO883) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780032706
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MICHAEL WILLISCredential: D.P.M.
Location Address1 SHERIDAN SQ STE 102Kingsport, TN 37660-7398
Mailing Address1 Sheridan Sq Ste 102Kingsport, TN 37660-7398 · (423) 722-5200
Phone(423) 722-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 31, 2016
Last NPPES UpdateJune 22, 20214 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1780032706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in TN · DPMOOOOOOO883
1 SHERIDAN SQ STE 102, Kingsport, TN 37660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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. Michael Willis D.p.m. 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 ID2466883384
PECOS Enrollment IDI20210813000241
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 5

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
36 services18 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
22 services14 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.
17 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Other Providers at the Same Location NPPES 2

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

ANN WOLFORD DPM
Podiatrist (Foot & Ankle Surgery)
1 SHERIDAN SQ STE 102
KINGSPORT, TN 37660
Sullivan County (423) 722-5200
EAST TENNESSEE PODIATRY ASSOCIATES PLLC
Podiatrist (Foot & Ankle Surgery)
1 SHERIDAN SQ STE 102
KINGSPORT, TN 37660
Sullivan County (423) 722-5200

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 Michael Willis's NPI number?

The NPI number for Michael Willis is 1780032706. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Michael Willis located?

Michael Willis practices at 1 Sheridan Sq Ste 102, Kingsport, TN 37660. The listed phone number is (423) 722-5200.

What is Michael Willis's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Michael Willis enrolled in Medicare?

Yes. Michael 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 Michael Willis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Michael 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 Michael Willis affiliated with any hospitals?

According to CMS data, Michael Willis is affiliated with Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Willis was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.