TRACIE WATSON (D.O.) – Hematology & Oncology Physician, NPI 1275875965

TRACIE WATSON (D.O.) is a healthcare provider. based in Maywood, Illinois. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials D.O.. They hold a License No. BF4649604-B213 (IL). The NPI Number for TRACIE WATSON (D.O.) is 1275875965

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
TRACIE WATSON (D.O.)
NPI
1275875965
Phone
(708) 216-5368
Address
2160 S 1ST AVE
Enumeration Date
21 March 2013
Last Update Date
15 January 2021

Doctor Profile

Medical School Name
TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Secondary Phone
9259399610
Graduation Year
2013 (13 years ago)
PAC ID
5092018986
Group Practice PAC ID
9537113212
Professional Enrollment ID
I20201228002531
Address ID
CA945982415WA500XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:13State licenses:2Digital endpointsOther names

727 HEMATOLOGY/ONCOLOGY in IL

Provider Addresses for TRACIE WATSON (D.O.)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-5368

    Fax: (708) 216-3375

    Type: Mailing

  • 500 LENNON LN

    WALNUT CREEK, CA 945982415

    Phone: (925) 939-9610

    Fax: (925) 939-9630

    Type: Mailing

  • 2160 S 1st Ave

    Maywood, IL 601533328

    Phone: (559) 216-5368

    Fax: (708) 216-3375

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 134 Open Payments records for all available years, with a total value of $3,068.

Total Amount is formed as General ($3,068) + Research ($0) + Ownership ($0) = $3,068.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: PFIZER INC. ($347).

Total Amount

$3,068

General + Research + Ownership

Payments

134

Total payment records

General Amount

$3,068

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2020-12-28

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
I20201228002531IHematology/OncologyCATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,70012$0
99214Established patient office or other outpatient visit, 30-39 minutes22585$0
96375Injection of additional new drug or substance into vein15721$0
99215Established patient office or other outpatient visit, 40-54 minutes14343$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11852$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 9537113212View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology, Interventional RadiologyIN
Hematology/Oncology, Internal MedicineCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CA
Internal Medicine, Hematology/OncologyCA
Nurse PractitionerCA
Diagnostic RadiologyCA
-CA
H E M A T O L O G Y/ O N C O L O G YCA

Reviews

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Frequently asked questions

What number should I use to identify TRACIE WATSON (D.O.) for billing?
Administrative and clinical systems typically use NPI 1275875965 for TRACIE WATSON (D.O.).
Quick check: is TRACIE WATSON (D.O.) active?
Public NPPES data shows TRACIE WATSON (D.O.) with an active NPI status right now.
What does the directory say TRACIE WATSON (D.O.) does?
Insurance directories may phrase it differently, but here TRACIE WATSON (D.O.) maps to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit TRACIE WATSON (D.O.) in Maywood, Illinois?
For routing, start with Maywood, Illinois for TRACIE WATSON (D.O.), then verify phone and hours locally.
Can I export TRACIE WATSON (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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