DR. ROBERT LEE III WATKINS (MD) – Child & Adolescent Psychiatry Physician, NPI 1417206095

DR. ROBERT LEE III WATKINS (MD) is a healthcare provider. based in Maitland, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. ME126649 (FL). The NPI Number for DR. ROBERT LEE III WATKINS (MD) is 1417206095

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT LEE III WATKINS (MD)
NPI
1417206095
Phone
(407) 647-0660
Address
1650 N PARK AVE
Enumeration Date
29 August 2012
Last Update Date
10 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075597011
Graduation Year
2004 (22 years ago)
PAC ID
8224482351
Group Practice PAC ID
9638354889
Professional Enrollment ID
I20230922003700
Address ID
FL327461694LA1355XPKWY403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for DR. ROBERT LEE III WATKINS (MD)

  • 1650 N PARK AVE

    MAITLAND, FL 327516570

    Phone: (407) 647-0660

    Type: Location

  • 1230 TADSWORTH TER

    LAKE MARY, FL 327465336

    Phone: (214) 729-0852

    Type: Mailing

  • 1177 LOUISIANA AVE STE 209

    WINTER PARK, FL 327892352

    Phone: (407) 664-8242

    Fax: (407) 960-6284

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-01-19 • Largest payer in this snapshot: Alkermes, Inc. ($46).

Total Amount

$78

General + Research + Ownership

Payments

4

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-19

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: 2023-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230922003700IPsychiatryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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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: 9638354889View full group profile
NameSpecialtyState
Nurse PractitionerNC
-FL
Nurse PractitionerFL
-SC
-GA
P S Y C H I A T R YFL
Physician AssistantNC
Nurse PractitionerFL
-FL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

How is DR. ROBERT LEE III WATKINS (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ROBERT LEE III WATKINS (MD) with NPI 1417206095.
Is DR. ROBERT LEE III WATKINS (MD) listed as active for patients and plans?
The listing shows DR. ROBERT LEE III WATKINS (MD) as active in the NPI system.
What taxonomy line describes DR. ROBERT LEE III WATKINS (MD)?
For research purposes, treat DR. ROBERT LEE III WATKINS (MD) as Child & Adolescent Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. ROBERT LEE III WATKINS (MD) based?
DR. ROBERT LEE III WATKINS (MD) is tied to Maitland, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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