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Deactivated NPI 1528163656 Deactivated / Inactive NPI Male Practitioner

Dr. William Walker Colliflower , MD

Specialist • Jackson, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Colliflower has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 13, 2006
NPI Deactivation Date March 14, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. William Colliflower, MD was a registered Specialist practicing in Jackson, CA. Throughout an active medical career spanning 12 years, Dr. Colliflower provided care at the practice location at 817 COURT STREET until profile deactivation on 2018-03-14.

Historical Medicare Part B clinical services included stool analysis for blood to screen for colon tumors, cervical or vaginal cancer screening; pelvic and clinical breast examination, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

817 Court Street
Suite 8

Jackson, CA 952462156

Telephone 2092231031
Fax 2092235272
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jackson, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Jackson, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
82270 Stool analysis for blood to screen for colon tumors
61 61 $30.00 $4.37
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
60 60 $55.43 $37.32
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
47 47 $65.00 $44.05
99213 Established patient office or other outpatient visit, typically 15 minutes
35 25 $141.14 $72.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
20 17 $214.75 $106.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 16 $89.01 $43.67

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA C277660

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 14, 2018

Record deactivated on March 14, 2018

NPI Profile Active June 03, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2014

Registered at 817 COURT STREET, SUITE 8, JACKSON, CA 952462156 (Tel: 2092231031)

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Updated Business Mailing Address June 03, 2014

Registered at PO BOX 1090, LODI, CA 952411090 (Tel: 2093341800)

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Provider Name / Credentials Updated June 03, 2014

Recorded as WILLIAM COLLIFLOWER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2014

Specialist (License #C277660 in CA)

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Initial NPI Registration & Enumeration September 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528163656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2006
Last Update: June 03, 2014
Deactivation Date: March 14, 2018

Mailing Address

Po Box 1090

Lodi, CA 952411090

Phone: 2093341800

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.