Active NPI 1063722684 Individual Practitioner Male Practitioner

Dr. Willis Tyler Nichols , MD

Surgery • Foley, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Willis Nichols, MD is a certified Surgery practicing in Foley, AL. With approximately 16 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2010, Dr. Nichols delivers high-quality medical care to the local community at 1711 N MCKENZIE ST STE 201.

Dr. Nichols is affiliated with Foley Clinic Corp. and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1711 N Mckenzie St Ste 201

Foley, AL 365352282

Telephone 2514241620

Fax 2519526620

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Foley, AL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -9.4 yrs vs City Avg

City Avg: 25.4 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

9 Specialists

Practicing in Foley, AL (471 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nichols (16 Years) 16 Yrs

Foley Specialty Average (25.4 Years) 25.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$1098.00	$226.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$409.00	$148.12
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$179.00	$83.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$266.00	$117.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$265.00	$101.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$347.00	$120.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$512.00	$158.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$106.00	$51.26
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$822.42	$166.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$409.00	$155.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$512.00	$165.83
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$179.00	$76.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$265.00	$101.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$266.00	$112.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1098.00	$237.93
45380 Biopsy of large bowel using an endoscope	11	11	$969.00	$77.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$409.00	$158.34
99213 Established patient office or other outpatient visit, typically 15 minutes	29	23	$179.00	$82.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$266.00	$117.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$512.00	$190.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$265.00	$107.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$347.00	$130.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$409.00	$149.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$512.00	$195.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$99.00	$37.51
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$179.00	$88.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$266.00	$125.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$511.00	$215.42
47562 Removal of gallbladder using an endoscope	14	14	$1834.00	$632.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	17	$99.00	$38.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$512.00	$197.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$266.00	$100.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$511.00	$190.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$409.00	$157.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$265.00	$102.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$511.00	$188.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$409.00	$145.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$512.00	$191.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	17	$99.00	$37.18
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$179.00	$68.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$266.00	$92.06
47562 Removal of gallbladder using an endoscope	21	21	$1834.00	$593.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$265.00	$100.22
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$52.00	$17.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$357.00	$129.75
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$985.92	$316.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	31	$95.73	$35.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$398.92	$145.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$505.44	$186.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$511.00	$187.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$357.00	$120.75
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$173.62	$65.70
47562 Removal of gallbladder using an endoscope	15	15	$1799.60	$587.32
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$49.63	$17.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$252.09	$96.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	17	$48.29	$37.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$194.69	$152.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$105.22	$98.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$247.07	$191.83
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$84.19	$67.70

Medical Specialties & State Licenses

CMS Verified: 2025-10-14

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 34161

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

214769 (AL)

Medicaid State Provider ID

105926100 (FL)

Medicaid State Provider ID

211911 (AL)

Medicaid State Provider ID

00187592 (MS)

Hospital & Practice Group Affiliations

Foley Clinic Corp.

1725 N Mckenzie St, Foley, AL 365352249

Phone: 2519432141

Foley Clinic Corp.

1613 N Mckenzie St, Foley, AL 365352247

Phone: 2519493400

Foley Clinic Corp.

161 W Peachtree St, Foley, AL 365352239

Phone: 2519701090

Foley Clinic Corp.

1711 N Mckenzie St, Foley, AL 365352249

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Steven Kinsey , MD

Surgery

NPI 1275506917

Doctor of Medicine (M.D.)

Dr. Darren Rowan , MD

Surgery

NPI 1669433405

Doctor of Medicine (M.D.)

Dr. Jeffrey Caylor , DO

Surgery

NPI 1730153271

Doctor of Osteopathic Medicine (D.O.)

Dr. Eric Roberts , DO

Surgery

NPI 1982921748

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 21, 2019

Registered at 1711 N MCKENZIE ST STE 201, FOLEY, AL 365352282 (Tel: 2514241620)

📍

Updated Business Mailing Address November 21, 2019

Registered at 1711 N MCKENZIE ST STE 201, FOLEY, AL 365352282 (Tel: 2519493479)

✅

NPI Profile Active August 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 03, 2015

Registered at 101 MEMORIAL HOSPITAL DRIVE STE 301, MOBILE, AL 36608 (Tel: 2513441800)

📍

Updated Business Mailing Address August 03, 2015

Registered at 101 MEMORIAL HOSPITAL DR STE 301, MOBILE, AL 366081787 (Tel: 2513441800)

👤

Provider Name / Credentials Updated August 03, 2015

Recorded as WILLIS NICHOLS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2015

Surgery (License #34161 in AL)

🟢

Initial NPI Registration & Enumeration October 15, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063722684

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 15, 2010

Last Update: October 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1711 N Mckenzie St Ste 201

Foley, AL 365352282

Phone: 2519493479

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.