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Dr. Hal Bret Willardson , MD

Dermatology β€’ Palmer, AK

Active NPI 1275924300 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2250 S Woodworth Loop Ste 101
Palmer, AK 996457457

Call 9077457546 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2250 S Woodworth Loop Ste 101

Palmer, AK 996457457

Telephone 9077457546
Fax 9077457540
Organization at the Same NPPES Address or Phone
Mat-Su Dermatology, Llc Facility NPI 1063300580

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mat-Su Dermatology, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

2015

Industry payments (Open Payments)

Fewer than 11 payment records totaling $53.00 in 2020

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2020.

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Willardson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Willardson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Palmer and Alaska

2 active clinicians are listed under Dermatology with a practice address in Palmer, AK (22 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2020

Program year 2020 (payments made January 1 – December 31, 2020): fewer than 11 records totaling $53.00.

Manufacturer Payment Nature Product Type Amount ($)
VYNE Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ZILXI General $53.00

Source: CMS Open Payments, program year 2020, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-21
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES AK 183209

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20250912003977

Enrollment State Jurisdiction

AK

PECOS Control ID

6406359041

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mat-Su Dermatology, Llc

2250 S Woodworth Loop, Palmer, AK 996457457

Phone: 9077457546

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Ashley Smith , PA

Physician Assistant

NPI 1548969413

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Practice Location May 21, 2026

Registered at 2250 S WOODWORTH LOOP STE 101, PALMER, AK 996457457 (Tel: 9077457546)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2026

Dermatology (license number reported to NPPES: AK 183209)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Military Health Care Provider (license number reported to NPPES: NE 29379)

πŸ“
Updated Practice Location August 30, 2021

Registered at 5955 ZEAMER AVE, ANCHORAGE, AK 995063702 (Tel: 9075802538)

πŸ“
Updated Business Mailing Address August 30, 2021

Registered at 1398 N RIVER ROCK CIR, PALMER, AK 99645 (Tel: 9073602103)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2021

Dermatology (license number reported to NPPES: NE 29379)

πŸ“
Updated Practice Location December 07, 2018

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102928802)

βœ…
NPI Profile Active July 31, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 31, 2017

Registered at 5406 NELLIS AVE, LACKLAND AFB, TX 78236 (Tel: 2102927244)

πŸ“
Updated Business Mailing Address July 31, 2017

Registered at 6419 TULIA WAY, SAN ANTONIO, TX 782536445

πŸ‘€
Provider Name / Credentials Updated July 31, 2017

Recorded as HAL WILLARDSON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2017

Military Health Care Provider (license number reported to NPPES: NE 29379)

βœ…
NPI Profile Active February 11, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 11, 2015

Registered at 2200 BERGQUIST DR STE 1, WHMC/GE-2200, JBSA LACKLAND AFB, TX 782365300 (Tel: 2109165545)

πŸ“
Business Mailing Address (Initial Record) February 11, 2015

Registered at 6602 SHADDEN OAKS, LIVE OAK, TX 782337247

πŸ‘€
Provider Name / Credentials (Initial Record) February 11, 2015

Recorded as HAL WILLARDSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 11, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275924300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2015
Last Update: May 21, 2026
Sole Proprietor: No

Mailing Address

1398 N River Rock Cir

Palmer, AK 99645

Phone: 9073602103

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.