DR. JERROLD C WILLIS MD NPI 1467407072

NPI Information

  • NPI: 1467407072
  • Provider Name: DR. JERROLD C WILLIS, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 GOOD SAMARITAN WAY
    RADIOLOGY DEPT
    MOUNT VERNON, IL
    ZIP 62864
  • Phone: (618) 242-4600

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NPI Details

DR. Jerrold C Willis, MD is a diagnostic radiology radiology in Mount Vernon, IL with 49 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jerrold C Willis, MD NPI is 1467407072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

1 GOOD SAMARITAN WAY
RADIOLOGY DEPT
MOUNT VERNON, IL
ZIP 62864-402
Phone: (618) 242-4600

The NPI 1467407072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Interpretation of trabecular bone score (tbs) and report on fracture risk (HCPCS:77092)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Ct scan of middle spine without contrast (HCPCS:72128)

The enumeration date for this NPI number is 5/23/2006 and was last updated on 3/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology36057038ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300117217OTHERILLINOISRAILROAD GOOD SAM & ST MARY'S
2300119485OTHERILLINOISRAILROAD ST JOES/UTLAH
3036057038-3MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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