DR. DIDIE CLEBERT WATSOP (MD) – Internal Medicine Physician, NPI 1215113279

DR. DIDIE CLEBERT WATSOP (MD) is a healthcare provider. based in Kingston, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 235443 (MA). The NPI Number for DR. DIDIE CLEBERT WATSOP (MD) is 1215113279

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIDIE CLEBERT WATSOP (MD)
NPI
1215113279
Phone
(508) 423-0300
Address
402 COUNTRY CLUB WAY
Enumeration Date
21 January 2008
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
9436217866
Group Practice PAC ID
0547570806
Professional Enrollment ID
I20081029000069
Address ID
MA021242105Do25XXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for DR. DIDIE CLEBERT WATSOP (MD)

  • 402, Country Club Way, Kingston, Plymouth County, Massachusetts, United States

    KINGSTON, MA 023644110

    Phone: (508) 423-0300

    Type: Mailing

  • 670, County Street, New Bedford, Bristol County, Massachusetts, 02740, United States

    NEW BEDFORD, MA 027406719

    Phone: (508) 994-2400

    Type: Location

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: 2008-10-29

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
I20081029000069IInternal MedicineMATBD

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 02364)

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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: 0547570806View full group profile
NameSpecialtyState
Nurse PractitionerMA
P S Y C H I A T R YMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerCT
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Is there an official ID for DR. DIDIE CLEBERT WATSOP (MD) in U.S. healthcare records?
The official identifier for DR. DIDIE CLEBERT WATSOP (MD) is NPI 1215113279.
Is DR. DIDIE CLEBERT WATSOP (MD) shown as active in public data?
Registry records indicate DR. DIDIE CLEBERT WATSOP (MD) maintains an active NPI.
What kind of doctor is DR. DIDIE CLEBERT WATSOP (MD)?
DR. DIDIE CLEBERT WATSOP (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DIDIE CLEBERT WATSOP (MD)?
Travel planning: use Kingston, Massachusetts as the reference point for DR. DIDIE CLEBERT WATSOP (MD), then confirm.
Does DR. DIDIE CLEBERT WATSOP (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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