Active NPI 1760537534 Individual Practitioner Male Practitioner

Dr. David John Willis , MD

Colon & Rectal Surgery • St Louis Park, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Willis, MD is a certified Colon & Rectal Surgery practicing in St Louis Park, MN. With approximately 27 years of clinical experience since graduating from New York University School Of Medicine in 1999, Dr. Willis delivers high-quality medical care to the local community at 3931 LOUISIANA AVE S.

Dr. Willis is affiliated with Park Nicollet Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic examination of the anus using an endoscope, new 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

3931 Louisiana Ave S
Meadowbrook Bldg Suite W-200

St Louis Park, MN 554264375

Telephone 9529933466

Fax 9529933653

Associated Practice Facility / Clinic

🏢 Park Nicollet Health Care Products Facility NPI 1992768899

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in St Louis Park, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

3 Specialists

Practicing in St Louis Park, MN (97 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willis (27 Years) 27 Yrs

St Louis Park Specialty Average (27.0 Years) 27.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$338.00	$88.13
46600 Diagnostic examination of the anus using an endoscope	14	12	$565.00	$116.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$420.00	$107.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$822.00	$211.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$478.00	$124.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$312.00	$85.32
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	16	16	$23.00	$4.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$440.00	$124.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	26	26	$22.00	$5.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$179.00	$55.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1016.00	$234.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$359.00	$109.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$73.00	$23.26
46600 Diagnostic examination of the anus using an endoscope	12	12	$491.00	$125.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	21	$145.00	$56.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$342.00	$111.05
46600 Diagnostic examination of the anus using an endoscope	17	12	$415.00	$123.87
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$238.00	$90.78
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	15	15	$23.00	$5.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$73.00	$23.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$230.00	$72.74
46600 Diagnostic examination of the anus using an endoscope	23	20	$352.13	$104.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$136.00	$45.27
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$224.00	$74.60
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	14	14	$21.00	$5.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$610.00	$199.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	20	$126.00	$44.46
46600 Diagnostic examination of the anus using an endoscope	20	16	$317.00	$95.37
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$216.00	$73.53
45380 Biopsy of large bowel using an endoscope	14	14	$736.00	$133.21
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	13	13	$20.00	$5.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$310.00	$100.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$474.00	$148.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$311.00	$105.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$121.00	$43.31
45380 Biopsy of large bowel using an endoscope	12	12	$709.00	$159.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$104.00	$37.96
45380 Biopsy of large bowel using an endoscope	14	14	$692.00	$159.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$114.00	$42.90
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$197.00	$73.27

Medical Specialties & State Licenses

CMS Verified: 2021-07-02

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License MN 48801

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License MN 48801

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.

Hospital & Practice Group Affiliations

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Practice Associates & Co-Workers

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

2 Associated Practitioners

Grace Perrone , PA-C

Physician Assistant

NPI 1043949266

Physician Assistant (Certified)

Emily Hable

Physician Assistant

NPI 1588292528

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address July 02, 2021

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

✅

NPI Profile Active October 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2011

Registered at 3931 LOUISIANA AVE S, MEADOWBROOK BLDG SUITE W-200, ST LOUIS PARK, MN 554264375 (Tel: 9529933466)

📍

Updated Business Mailing Address October 05, 2011

Registered at 3931 LOUISIANA AVE S, MEADOWBROOK BLDG SUITE W-200, ST LOUIS PARK, MN 554264375 (Tel: 9529933466)

👤

Provider Name / Credentials Updated October 05, 2011

Recorded as DAVID WILLIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Surgery (License #48801 in MN)

🟢

Initial NPI Registration & Enumeration January 24, 2007

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: 1760537534

Entity Type:

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

Enumeration Date: January 24, 2007

Last Update: July 02, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

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.