Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639100340 Individual Practitioner Male Practitioner

Dr. Jeffrey Todd Willis , MD

General Practice • Philadelphia, MS

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Willis, MD is a registered healthcare professional specializing in General Practice in Philadelphia, MS. Practice services are available at 1003 HOLLAND AVE STE 104 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, follow-up hospital inpatient care per day, 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

1003 Holland Ave Ste 104

Philadelphia, MS 393502180

Telephone 6016560010
Fax 6016560313
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Philadelphia, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Philadelphia, MS (91 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.3% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
1,267 190 $66.00 $41.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes
530 108 $86.00 $37.74
99213 Established patient office or other outpatient visit, typically 15 minutes
315 160 $97.00 $69.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
303 115 $117.00 $69.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
290 155 $150.00 $100.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
274 117 $84.00 $65.35
J0696 Injection, ceftriaxone sodium, per 250 mg
233 39 $17.00 $0.58
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
171 18 $170.36 $38.98
99238 Hospital discharge day management, 30 minutes or less
129 113 $110.00 $69.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
124 104 $219.00 $132.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
73 58 $155.00 $124.18
99315 Nursing facility discharge day management, 30 minutes or less
66 65 $120.00 $69.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
53 38 $172.00 $100.92
99318 Nursing facility annual assessment, typically 30 minutes
50 50 $175.00 $92.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
39 32 $122.00 $86.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
38 36 $269.00 $195.90
99239 Hospital discharge day management, more than 30 minutes
35 33 $127.00 $103.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg
33 15 $6.00 $0.12
99219 Hospital observation care, typically 50 minutes
31 30 $195.00 $130.72
99217 Hospital observation care on day of discharge
24 23 $117.00 $69.54
99318 Nursing facility annual assessment, typically 30 minutes
15 15 $175.00 $91.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 11 $83.00 $41.98
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage
11 11 $20.73 $10.68
90662 Influenza vaccine split virus, preservative free
11 11 $112.00 $56.27

Medical Specialties & State Licenses

CMS Verified: 2020-11-16
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MS 12556

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0114279 (MS)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Zaineb Daud , MD

Psychiatry & Neurology - Neurology

NPI 1568468908

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated November 16, 2020

Recorded as JEFFREY WILLIS, MD

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2017

Registered at 1003 HOLLAND AVE STE 104, PHILADELPHIA, MS 393502180 (Tel: 6016560010)

📍
Updated Business Mailing Address September 06, 2017

Registered at 1003 HOLLAND AVE STE 104, PHILADELPHIA, MS 393502180 (Tel: (601) 656-0010)

👤
Provider Name / Credentials Updated September 06, 2017

Recorded as JEFFERY WILLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

General Practice (License #12556 in MS)

NPI Profile Active August 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2013

Registered at 14365 HIGHWAY 16 W, DE KALB, MS 393287974 (Tel: 7694861000)

📍
Updated Business Mailing Address August 28, 2013

Registered at 1314 19TH AVE, MERIDIAN, MS 393014116 (Tel: 6017034282)

👤
Provider Name / Credentials Updated August 28, 2013

Recorded as JEFFERY WILLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2013

Family Medicine (License #12556 in MS)

🟢
Initial NPI Registration & Enumeration July 05, 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: 1639100340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: November 16, 2020
Sole Proprietor: Yes

Mailing Address

1003 Holland Ave Ste 104

Philadelphia, MS 393502180

Phone: 6016560010

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.