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Deactivated NPI 1497792089 Deactivated / Inactive NPI Male Practitioner

Dr. Dan A Willis , MD

Ophthalmology • Fort Worth, TX

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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. Dan Willis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2006
NPI Deactivation Date February 05, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Dan Willis, MD was a registered Ophthalmology practicing in Fort Worth, TX. Throughout an active medical career spanning 20 years, Dr. Willis provided care at the practice location at 1000 9TH AVE until profile deactivation on 2026-02-05.

Historical Medicare Part B clinical services included established patient problem focused exam of visual system, exam of visual field with intermediate testing, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1000 9th Ave
Ste. B

Fort Worth, TX 761043906

Telephone 8178775381
Fax 8178773992

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.9 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
49 Specialists

Practicing in Fort Worth, TX (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.8% 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
92012 Established patient problem focused exam of visual system
33 29 $132.00 $88.61
92082 Exam of visual field with intermediate testing
18 18 $176.00 $47.53

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX E2944

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1184641797

Doctor of Medicine (M.D.)

NPI 1275741464

Doctor of Medicine (M.D.)

Mary Biasiolli , RN

Registered Nurse

NPI 1538234265

Registered Nurse

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated February 05, 2026

Record deactivated on February 05, 2026

NPI Profile Active June 22, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address June 22, 2017

Registered at 1650 W ROSEDALE ST, STE 200, FORT WORTH, TX 761047426 (Tel: 8178775381)

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Updated Practice Location June 22, 2017

Registered at 1000 9TH AVE, STE. B, FORT WORTH, TX 761043906 (Tel: 8178775381)

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Provider Name / Credentials Updated June 22, 2017

Recorded as DAN WILLIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2017

Ophthalmology (License #E2944 in TX)

NPI Profile Active March 14, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 14, 2014

Registered at 1000 9TH AVE, STE. B, FORT WORTH, TX 761043906 (Tel: 8178775381)

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Updated Business Mailing Address March 14, 2014

Registered at 1000 9TH AVE, STE. B, FORT WORTH, TX 761043906 (Tel: 8178775381)

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Provider Name / Credentials Updated March 14, 2014

Recorded as DAN WILLIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2014

Ophthalmology (License #E2944 in TX)

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Initial NPI Registration & Enumeration June 01, 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: 1497792089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: March 14, 2014
Deactivation Date: February 05, 2026

Mailing Address

1000 9th Ave, Ste. B

Fort Worth, TX 761043906

Phone: 8178775381

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.