Rudolph Willis, MD
NPI 1104887819 · Family Medicine Physician · Irvington, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rudolph Willis, MD is a Family Medicine Physician provider in Irvington, NJ (NPI 1104887819).
Provider details
- NPI number
- 1104887819
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MA42750 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
246 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 101 | $100 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 90 | $18 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 30 | $3 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 25 | $141 |
Typical Medicare-allowed amounts for these services range $3–$141 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 71 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 201 | 60 |
| Rosuvastatin Calcium | 196 | 78 |
| Amlodipine Besylate | 172 | 53 |
| Amlodipine Bes/Olmesartan Medbrand: Amlodipine-Olmesartan | 172 | 59 |
| Atorvastatin Calcium | 162 | 53 |
| Metformin Hclbrand: Metformin Hcl Er | 131 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$654 across 22 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Rudolph Willis's NPI number?
- Rudolph Willis's National Provider Identifier (NPI) is 1104887819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rudolph Willis's specialty?
- Rudolph Willis is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rudolph Willis located?
- Rudolph Willis's practice location on file with NPPES is 12 Krotik Pl, Irvington, NJ 07111-1708.
- What is Rudolph Willis's phone number?
- The practice phone number listed in the NPPES registry for Rudolph Willis is (973) 373-3000.
- Does Rudolph Willis accept Medicare?
- Rudolph Willis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rudolph Willis's NPI active?
- Yes — Rudolph Willis's NPI (1104887819) is active in the NPPES registry as of the last update on 2026-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.