MR. RICHARD GARY WATTS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023113545
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID
Provider Addresses for MR. RICHARD GARY WATTS (CRNA)
229 S 7th St
St Maries, ID 838611803
Phone: (208) 245-5551
Fax: (208) 245-5246
Type: Location
151, East 1600 South, Mapleton, Utah County, Utah, 84664, United States
MAPLETON, UT 846645202
Phone: (801) 491-6315
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050720001133 | I | Certified Registered Nurse Anesthetist (Crna) | UT | TBD |
| I20120201000800 | I | Certified Registered Nurse Anesthetist (Crna) | MT | TBD |
| I20150408002553 | I | Certified Registered Nurse Anesthetist (Crna) | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 14 | 14 | $0 |
Insurance plans in this area (ZIP 83861)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| A N E S T H E S I O L O G Y | UT | |
| - | UT | |
| - | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| - | UT | |
| Certified Registered Nurse Anesthetist (Crna) | NE |
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