BRIAN J WILLOUGHBY M.D.
NPI 1962425710
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Denver, CO

Q: What is Brian Willoughby's NPI number?

The NPI number for Brian Willoughby is 1962425710. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Brian Willoughby's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Brian Willoughby was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 25, 2006PECOS EnrolledAccepts Medicare Assignment

3150 E 3RD AVE STE 100, DENVER, CO 80206(303) 320-5700(303) 322-6129 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian J Willoughby M.d. NPPES

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

BRIAN J WILLOUGHBY M.D. (NPI 1962425710) is an individual ophthalmic plastic and reconstructive surgery provider in Denver, Colorado, licensed in Colorado (DR.0040115) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1996).

NPPES Registry Identity

NPI1962425710

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NameBRIAN J WILLOUGHBYCredential: M.D.

Location Address3150 E 3RD AVE STE 100Denver, CO 80206-5248

Mailing Address3150 E 3rd Ave Ste 100Denver, CO 80206-5248 · (303) 320-5700 · Fax (303) 322-6129

Phone(303) 320-5700

Fax(303) 322-6129

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1996

Enumeration DateJuly 25, 2006

Last NPPES UpdateAugust 2, 2024

NPPES CertifiedAugust 2, 2024

✔ NPI 1962425710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

License✔ Licensed in CO · DR.0040115

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License 40115 (CO)

3150 E 3RD AVE STE 100, Denver, CO 80206

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Other Identifiers 2

Medicaid28836235CO

Medicaid60008067CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Brian J Willoughby 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 ID5991694580

PECOS Enrollment IDI20041229001044

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 4

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.

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

70 services59 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.

48 services48 patients

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.

32 services28 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.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80206 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brian Willoughby's NPI number?

The NPI number for Brian Willoughby is 1962425710. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Brian Willoughby located?

Brian Willoughby practices at 3150 E 3rd Ave Ste 100, Denver, CO 80206. The listed phone number is (303) 320-5700.

What is Brian Willoughby's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Brian Willoughby enrolled in Medicare?

Yes. Brian Willoughby 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 Brian Willoughby accept?

Health plans from UnitedHealthcare list Brian Willoughby 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.

When was this NPI record last updated?

The NPPES record for Brian Willoughby was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.