Active NPI 1417931007 Individual Practitioner Male Practitioner

Dr. Todd Michael Willcox , MD

Surgery - Plastic and Reconstructive Surgery • Tacoma, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Willcox, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Tacoma, WA. With approximately 30 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 1996, Dr. Willcox delivers high-quality medical care to the local community at 5005 MAIN ST STE 125.

Dr. Willcox is affiliated with Franciscan Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, 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

5005 Main St Ste 125

Tacoma, WA 984073177

Telephone 2537594522

Fax 3605987505

Associated Practice Facility / Clinic

🏢 Chris Nichols Md Ps Facility NPI 1538308143

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Tacoma, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +7.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 17.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Tacoma, WA (74 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willcox (30 Years) 30 Yrs

Tacoma Specialty Average (22.3 Years) 22.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$482.86	$166.04
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$262.63	$90.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$637.67	$218.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$478.18	$165.24
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$259.50	$90.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$474.44	$160.13
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$258.44	$91.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	12	$65.47	$23.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$450.00	$168.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$297.00	$130.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$399.00	$182.41
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$205.00	$92.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$203.85	$73.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$297.00	$109.86
19371 Removal of capsule surrounding breast	15	15	$3520.13	$782.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$295.14	$108.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$450.00	$166.06

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	23	23	$296.39	$109.46
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$201.50	$74.81

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	42	41	$294.48	$106.03
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$200.00	$71.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$396.50	$145.62
19366 Plastic surgery to reconstruct breast	11	11	$7351.27	$1970.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$393.08	$143.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$290.87	$106.56
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$198.35	$67.47
19371 Removal of capsule surrounding breast	18	17	$3157.78	$556.23
19380 Revision of reconstructed breast	16	15	$3234.56	$603.80
19340 Insertion of breast prosthesis at time of breast repositioning, removal or reconstruction	15	14	$4292.87	$1199.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$446.80	$154.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$562.82	$176.88

Medical Specialties & State Licenses

CMS Verified: 2021-01-18

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License WA MD00042148

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1009933 (WA)

Commercial Insurance / Payer ID State L&i

0261603 (WA)

Commercial Insurance / Payer ID State L&i

0266417 (WA)

Commercial Insurance / Payer ID Dept Of Labor & Industry

198792 (WA)

Commercial Insurance / Payer ID State L&i

0251801 (WA)

Hospital & Practice Group Affiliations

Franciscan Medical Group

1617 S J St, Tacoma, WA 984054930

Phone: 2534266306

Franciscan Medical Group

11567 Canterwood Blvd Nw, Gig Harbor, WA 983325812

Phone: 2534266341

Franciscan Medical Group

11511 Canterwood Blvd Nw, Gig Harbor, WA 983325813

Phone: 2536271244

Franciscan Medical Group

1608 S J St, Tacoma, WA 984054930

Franciscan Medical Group

1812 S J St, Tacoma, WA 984054965

Phone: 2534282200

Franciscan Medical Group

11511 Canterwood Blvd, Gig Harbor, WA 983325813

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Ann Murphy , MD

Internal Medicine - Hematology & Oncology

NPI 1033282066

Doctor of Medicine (M.D.)

Caroline Heidbreder , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1487020830

PHYSICIANASSISTANT

Kimberly Funchess , PA

Physician Assistant

NPI 1639159189

Physician Assistant

Dr. Christopher Nichols , MD

Plastic Surgery

NPI 1659477610

Doctor of Medicine (M.D.)

Kristin Province , ARNP

Nurse Practitioner - Acute Care

NPI 1750564464

Advanced Registered Nurse Practitioner

Tracey Wilcox , PA-C

Physician Assistant

NPI 1881675015

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 18, 2021

Registered at 5005 MAIN ST STE 125, TACOMA, WA 984073177 (Tel: 2537594522)

📍

Updated Business Mailing Address January 18, 2021

Registered at 5005 MAIN ST STE 125, TACOMA, WA 984073177 (Tel: 2537594522)

✅

NPI Profile Active April 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2011

Registered at 11311 BRIDGEPORT WAY SW STE 309, LAKEWOOD, WA 984993078 (Tel: 2539856630)

📍

Updated Business Mailing Address April 06, 2011

Registered at 11311 BRIDGEPORT WAY SW STE 309, LAKEWOOD, WA 984993078 (Tel: 2539856630)

👤

Provider Name / Credentials Updated April 06, 2011

Recorded as TODD WILLCOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2011

Surgery (License #MD00042148 in WA)

🟢

Initial NPI Registration & Enumeration December 06, 2005

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: 1417931007

Entity Type:

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

Enumeration Date: December 06, 2005

Last Update: January 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5005 Main St Ste 125

Tacoma, WA 984073177

Phone: 2537594522

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.