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Deactivated NPI 1942243647 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene Willoughby , MD

Internal Medicine • Jackson, MI

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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. Eugene Willoughby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2006
NPI Deactivation Date April 11, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Willoughby, MD was a registered Internal Medicine practicing in Jackson, MI. Throughout an active medical career spanning 16 years, Dr. Willoughby provided care at the practice location at 205 N EAST AVE until profile deactivation on 2022-04-11.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Jackson, MI (6010 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
8.1% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
193 46 $90.00 $90.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
22 22 $190.00 $167.28

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 430103619

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Samantha Mishra , DO

Student in an Organized Health Care Education/Training Program

NPI 1003267303

Doctor of Osteopathic Medicine (D.O.)

NPI 1023198918

Doctor of Pharmacy (Pharm.D.)

Dr. James Chauncey , MD

Internal Medicine - Pulmonary Disease

NPI 1053377044

Doctor of Medicine (M.D.)

Dr. Jonathan Bradley , MD

Emergency Medicine

NPI 1063463552

Doctor of Medicine (M.D.)

Amanda Ahrens , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093033474

Certified Registered Nurse Anesthetist

Heidi Hosler-Lathrop , LMSW

Social Worker - Clinical

NPI 1093970030

Licensed Master Social Worker

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 April 11, 2022

Record deactivated on April 11, 2022

NPI Profile Active January 15, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 15, 2009

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884800)

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Updated Business Mailing Address January 15, 2009

Registered at DEPARTMENT 272801, PO BOX 67000, DETROIT, MI 482672728 (Tel: 5177832895)

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Provider Name / Credentials Updated January 15, 2009

Recorded as EUGENE WILLOUGHBY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2009

Internal Medicine (License #430103619 in MI)

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Initial NPI Registration & Enumeration June 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: 1942243647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: January 15, 2009
Deactivation Date: April 11, 2022

Mailing Address

Department 272801, Po Box 67000

Detroit, MI 482672728

Phone: 5177832895

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.