Doctor profile · Federal record
Dr. Walter Willoughby, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Sleep Medicine (Internal Medicine) Physician · Las Vegas, NV
- NPI 1376592477
- Accepts Medicare
- MIPS 74.6 / 100 · 2023
- 51 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
10105 Banburry Cross Dr Ste 355
Las Vegas, NV 891446649
(702) 409-3069
fax (702) 473-1869
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- November 3, 2025
- Year of graduation
- 1975 — 51 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Nevada #4004
- Medicaid
- NV #1376592477
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376592477. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
47,039
Distinct HCPCS
10
Medicare allowed
$1,042,238
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J2356 |
Injection, tezepelumab-ekko, 1 mg | 38,432 | 44 | $18 | |
94640 |
Inhalation treatment for airway obstruction or sputum production | 1,535 | 351 | $9 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 926 | 266 | $31 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 919 | 317 | $171 | |
94664 |
Evaluation of use of breathing device | 854 | 346 | $17 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 743 | 335 | $37 | |
94729 |
Test to examine how well the lungs exchange gases | 740 | 334 | $55 | |
85018 |
Blood count, hemoglobin | 702 | 324 | $2 | |
36415 |
Insertion of needle into vein for collection of blood sample | 698 | 322 | $8 | |
99424 |
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 216 | 158 | $79 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 403. This provider delivers 117× the peer median.Open Payments
Industry payments received
All-time total
$1,373
Transactions
68
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 13 | $338.59 | |
| Amgen Inc. | 18 | $234.46 | |
| GlaxoSmithKline, LLC. | 8 | $185.62 | |
| Mylan Specialty L.P. | 7 | $161.75 | |
| GENZYME CORPORATION | 7 | $135.13 | |
| Regeneron Healthcare Solutions, Inc. | 6 | $131.10 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 4 | $77.22 | |
| Grifols USA, LLC | 2 | $49.55 | |
| Axsome Therapeutics, Inc. | 2 | $40.72 | |
| Pulmonx Corporation | 1 | $19.30 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,350
Patients
742
Total drug cost
$1,823,643
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 445 | 171 | $1,242 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 348 | 123 | $10,288 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 247 | 66 | $137,946 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 229 | 49 | $208,475 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 195 | 52 | $171,158 |
| Azithromycin | Generic | 140 | 40 | $2,386 |
| Doxycycline Hyclate | Generic | 139 | 72 | $1,328 |
| Montelukast Sodium | Generic | 98 | 27 | $1,452 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 93 | 18 | $66,304 |
| Ofev (Nintedanib Esylate) | Brand | 85 | 0 | $1,138,177 |
Frequently asked questions
What is Dr. Walter Willoughby's medical specialty?
Dr. Walter Willoughby practices Pulmonary Disease Physician in Las Vegas, NV.
Where does Dr. Walter Willoughby practice?
Dr. Walter Willoughby practices at 10105 Banburry Cross Dr Ste 355, Las Vegas, NV 891446649. Office phone: 7024093069.
What is Dr. Walter Willoughby's NPI?
Dr. Walter Willoughby's National Provider Identifier (NPI) is 1376592477, issued by NPPES.
Does Dr. Walter Willoughby accept Medicare assignment?
Yes. Dr. Walter Willoughby accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Walter Willoughby commonly perform?
Top Medicare-reported procedures in 2023: Injection, tezepelumab-ekko, 1 mg (HCPCS J2356); Inhalation treatment for airway obstruction or sputum production (HCPCS 94640); Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS G2212). Source: CMS Medicare Physician & Other Practitioners file.