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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLIS LIN
NPI 1790487692
Family Medicine in Plainview, NY

Active since March 22, 2023PECOS Enrolled
888 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 876-6719 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2026, Mar 22, 2023 (2 updates tracked since 2023).

About Willis Lin NPPES

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

WILLIS LIN (NPI 1790487692) is an individual family medicine provider in Plainview, New York, licensed in New York (332179) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790487692
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIS LIN
Location Address888 OLD COUNTRY RDPlainview, NY 11803-4914
Mailing Address888 Old Country RdPlainview, NY 11803-4914
Phone(516) 876-6719
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 22, 2023
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1790487692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 332179
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.
888 OLD COUNTRY RD, Plainview, NY 11803
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willis Lin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133696149
PECOS Enrollment IDI20260428001012
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

SKYE FELICE DO
Hospitalist
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
PLAINVIEW MEDICAL CENTER
General Acute Care Hospital
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (415) 317-5382
DR. JUSTIN CHACKO D.O.
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
AMRINDER JAWANDHA PA-C
Physician Assistant (Surgical)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
DR. EVAN GREEN D.O.
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (760) 490-7392
ALEXANDRA CERONE
Dietitian, Registered
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000
KUSHKARAN KAUR DPM
Podiatrist (Foot & Ankle Surgery)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (732) 281-4583
MICHAEL ATALLAH DO
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 719-3000

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 Willis Lin's NPI number?

The NPI number for Willis Lin is 1790487692. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Willis Lin located?

Willis Lin practices at 888 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 876-6719.

What is Willis Lin's specialty?

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

Is Willis Lin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Willis Lin was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.