1. Home
  2. Directory
  3. California
  4. San Marcos
  5. Family Medicine
  6. NPI Profile

DR. KADEN GRAY WILLIE D.O.
NPI 1790133767
Family Medicine in San Marcos, CA

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
150 VALPREDA RD, SAN MARCOS, CA 92069(760) 736-6767(760) 736-8740 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2019, May 31, 2019 (2 updates tracked since 2019).

About Dr. Kaden Gray Willie D.o. NPPES

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

DR. KADEN GRAY WILLIE D.O. (NPI 1790133767) is an individual family medicine provider in San Marcos, California, licensed in California (20A17306) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790133767
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KADEN GRAY WILLIECredential: D.O.
Location Address150 VALPREDA RDSan Marcos, CA 92069-2973
Mailing Address150 Valpreda RdSan Marcos, CA 92069-2973
Phone(760) 736-6767
Fax(760) 736-8740
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateAugust 28, 20192 updates tracked since enumeration
✔ NPI 1790133767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A17306
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.
150 VALPREDA RD, San Marcos, CA 92069
Open in Google Maps ↗

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. Kaden Gray Willie D.o. 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 ID4587950001
PECOS Enrollment IDI20191030003154
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
34 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92069 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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. GREGORY M SMITH
Dentist (General Practice)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (310) 439-8059
CLAUDIO ODILON CABREJOS MD
Psychiatry & Neurology (Psychiatry)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6767
BLANCA ARIAS LCSW
Social Worker (Clinical)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6700
LILIANA M PONCE LCSW
Social Worker (Clinical)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6780
DR. FRANZ RICKY HINOJOSA M.D.
Psychiatry & Neurology (Psychiatry)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6700
GABRIELA ANDREA JUACHE-VELASCO PA-C
Physician Assistant
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6767
DR. KELLY ANN MARTINEZ MD
Obstetrics & Gynecology
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6700
CONSUELO RAZO RN
Registered Nurse
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6780

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 Kaden Willie's NPI number?

The NPI number for Kaden Willie is 1790133767. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Kaden Willie located?

Kaden Willie practices at 150 Valpreda Rd, San Marcos, CA 92069. The listed phone number is (760) 736-6767.

What is Kaden Willie's specialty?

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

Is Kaden Willie enrolled in Medicare?

Yes. Kaden Willie 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.

When was this NPI record last updated?

The NPPES record for Kaden Willie was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.