JEREL WATSON (M.D.) – Emergency Medicine Physician, NPI 1760747406

JEREL WATSON (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 125.061673 (IL). The NPI Number for JEREL WATSON (M.D.) is 1760747406

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JEREL WATSON (M.D.)
NPI
1760747406
Phone
(217) 545-3518
Address
701 N 1ST ST
Enumeration Date
9 July 2012
Last Update Date
9 July 2012

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2177322161
Graduation Year
2012 (14 years ago)
PAC ID
6507005303
Group Practice PAC ID
9436040573
Professional Enrollment ID
I20150406002139
Address ID
IL626565066LI200XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for JEREL WATSON (M.D.)

  • 701 N 1ST ST

    SPRINGFIELD, IL 627023757

    Phone: (217) 545-3518

    Fax: (217) 545-2711

    Type: Location

  • PO BOX 19638

    SPRINGFIELD, IL 627949638

    Phone: (217) 545-3518

    Fax: (217) 545-2711

    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: 2015-04-06

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
I20150406002139IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making204195$0
99291Critical care, first 30-74 minutes7574$0
99284Emergency department visit with moderate level of medical decision making4745$0
View full utilization report →

Insurance plans in this area (ZIP 62702)

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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: 9436040573View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Emergency MedicineIL
Emergency MedicineOK
Certified Registered Nurse Anesthetist (Crna)IL
Emergency MedicineIL

Reviews

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Frequently asked questions

Can I verify JEREL WATSON (M.D.) with an NPI only?
You can start verification with NPI 1760747406 for JEREL WATSON (M.D.), then check state licensing separately.
Is JEREL WATSON (M.D.) still practicing?
JEREL WATSON (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes JEREL WATSON (M.D.)?
For research purposes, treat JEREL WATSON (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does JEREL WATSON (M.D.) serve?
JEREL WATSON (M.D.)'s listing highlights Springfield, Illinois; more addresses can appear in NPPES.
Why does JEREL WATSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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