SHAWN WATTS (MD) – Surgery Physician, NPI 1639358864

SHAWN WATTS (MD) is a healthcare provider. based in Montgomery, Alabama. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD.30791 (AL). The NPI Number for SHAWN WATTS (MD) is 1639358864

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN WATTS (MD)
NPI
1639358864
Phone
(334) 419-9214
Address
7956 VAUGHN RD # 212
Enumeration Date
24 October 2007
Last Update Date
20 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5757697577
Graduation Year
2003 (23 years ago)
PAC ID
3870763949
Group Practice PAC ID
9234041708
Professional Enrollment ID
I20190122001077
Address ID
NM881012006CL2421XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

227 GENERAL SURGERY in NM

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Provider Addresses for SHAWN WATTS (MD)

  • 7956 VAUGHN RD # 212

    MONTGOMERY, AL 361166625

    Phone: (334) 419-9214

    Type: Mailing

  • 905, South 8th Street, Deming, Luna County, New Mexico, 88030, United States

    DEMING, NM 88030

    Phone: (334) 419-9214

    Type: Location

  • 2126 W ROY PARKER RD # 207

    OZARK, AL 363608566

    Phone: (334) 443-0160

    Fax: (334) 443-0162

    Type: Location

  • PO BOX 1464

    OZARK, AL 363611464

    Phone: (334) 443-0160

    Fax: (334) 443-0162

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $234.

Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($118).

Total Amount

$234

General + Research + Ownership

Payments

5

Total payment records

General Amount

$234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110826000722IGeneral SurgeryALTBD
I20170915002772IGeneral SurgeryTXTBD
I20190122001077IGeneral SurgeryNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4814$0
View full utilization report →

Insurance plans in this area (ZIP 36116)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234041708View full group profile

Reviews

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Frequently asked questions

How do I look up SHAWN WATTS (MD) by NPI?
Use NPI 1639358864 when you need to reference SHAWN WATTS (MD) in forms, claims, or directories.
Does this profile mean SHAWN WATTS (MD) is currently active?
Yes — SHAWN WATTS (MD) appears active in the national provider directory.
What kind of provider is SHAWN WATTS (MD)?
The page reflects Surgery Physician for SHAWN WATTS (MD). Clinical services aligned with this taxonomy classification.
What location shows for SHAWN WATTS (MD)?
We surface Montgomery, Alabama for SHAWN WATTS (MD) based on available NPPES addresses.
Is SHAWN WATTS (MD) a real provider?
This page reflects official NPPES data for NPI 1639358864. Always confirm identity and privileges with the practice and licensing boards.

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