Doctor profile · Federal record

Dr. Jerrold Willis, MD

Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Mount Vernon, IL

  • NPI 1467407072
  • Accepts Medicare
  • MIPS 90.0 / 100 · 2023
  • 49 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1 Good Samaritan Way, Radiology Dept
Mount Vernon, IL 628642402
(618) 242-4600
Mailing address
Po Box 2153 Dept 20002
Birmingham, AL 352870001

Credentials & registration

NPPES · NUCC
NPI registered
May 2006 — 20 yrs on file
Profile last updated
March 15, 2021
Year of graduation
1977 — 49 yrs since
Specialty taxonomy
2085R0202X — NUCC code
State license (1)
Illinois #36057038
Medicaid
IL #036057038-3

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1467407072. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
3,003
Distinct HCPCS
10
Medicare allowed
$95,065
HCPCS Description Services Patients Avg allowed
77067 Screening mammography 367 367 $35
77063 Screening 3d breast mammography 366 366 $28
71045 X-ray of chest, 1 view 243 229 $9
70450 Ct scan head or brain without contrast 158 155 $39
71250 Ct scan of chest without contrast 153 150 $50
71046 X-ray of chest, 2 views 136 131 $10
77080 Dxa bone density measurement of hip, pelvis, spine 126 125 $9
73502 X-ray of hip, 2-3 views 85 82 $10
72148 Mri scan of lower spinal canal without contrast 83 81 $69
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect 72 72 $74

In context: peer comparison

Among 1 peers in this city , average services per provider: 66. This provider delivers 46× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jerrold Willis's medical specialty?
Dr. Jerrold Willis practices Diagnostic Radiology Physician in Mount Vernon, IL.
Where does Dr. Jerrold Willis practice?
Dr. Jerrold Willis practices at 1 Good Samaritan Way, Mount Vernon, IL 628642402. Office phone: 6182424600.
What is Dr. Jerrold Willis's NPI?
Dr. Jerrold Willis's National Provider Identifier (NPI) is 1467407072, issued by NPPES.
Does Dr. Jerrold Willis accept Medicare assignment?
Yes. Dr. Jerrold Willis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jerrold Willis commonly perform?
Top Medicare-reported procedures in 2023: Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063); X-ray of chest, 1 view (HCPCS 71045). Source: CMS Medicare Physician & Other Practitioners file.