Doctor profile · Federal record
Dr. Jack Willis, PA
Physician Assistant · Odessa, TX
- NPI 1063664183
- Accepts Medicare
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4060 Medical Park Dr # A
Odessa, TX 797652233
(432) 582-2882
fax (432) 582-2884 - Mailing address
-
4060 Medical Park Dr
Odessa, TX 797652233
Credentials & registration
- NPI registered
- October 2008 — 18 yrs on file
- Profile last updated
- December 12, 2025
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Texas #PA05950
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063664183. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
177
Distinct HCPCS
6
Medicare allowed
$7,946
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 63 | 51 | $101 | |
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 62 | 11 | $0 | |
96372 |
Injection of drug or substance under skin or into muscle | 16 | 15 | $11 | |
G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 13 | 13 | $21 | |
99497 |
Advance care planning, first 30 minutes | 12 | 12 | $68 | |
87428 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 11 | 11 | $30 |
In context: peer comparison
Among 14 peers in this city , average services per provider: 90. This provider delivers 2.0× the peer median.Open Payments
Industry payments received
All-time total
$33
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 2 | $32.67 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
114
Patients
13
Total drug cost
$10,452
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 17 | 0 | $173 |
| Lisinopril | Generic | 15 | 0 | $132 |
| Amoxicillin | Generic | 13 | 13 | $66 |
| Rosuvastatin Calcium | Generic | 13 | 0 | $122 |
| Atorvastatin Calcium | Generic | 12 | 0 | $184 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 11 | 0 | $421 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 11 | 0 | $106 |
| Azithromycin | Generic | 11 | 0 | $90 |
| Jardiance (Empagliflozin) | Brand | 11 | 0 | $9,157 |
Hospital affiliations
Frequently asked questions
What is Dr. Jack Willis's medical specialty?
Dr. Jack Willis practices Physician Assistant in Odessa, TX.
Where does Dr. Jack Willis practice?
Dr. Jack Willis practices at 4060 Medical Park Dr # A, Odessa, TX 797652233. Office phone: 4325822882.
What is Dr. Jack Willis's NPI?
Dr. Jack Willis's National Provider Identifier (NPI) is 1063664183, issued by NPPES.
Does Dr. Jack Willis accept Medicare assignment?
Yes. Dr. Jack Willis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Willis commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Injection of drug or substance under skin or into muscle (HCPCS 96372). Source: CMS Medicare Physician & Other Practitioners file.