TODD M. WATANABE (M.D.) – Ophthalmology Physician, NPI 1104888742

TODD M. WATANABE (M.D.) is a healthcare provider. based in Woodbury, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 43820 (MN). The NPI Number for TODD M. WATANABE (M.D.) is 1104888742

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
TODD M. WATANABE (M.D.)
NPI
1104888742
Phone
(651) 738-6600
Address
2080 WOODWINDS DR
Enumeration Date
6 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
6515786949
Graduation Year
1993 (33 years ago)
PAC ID
3072539949
Group Practice PAC ID
6709773823
Professional Enrollment ID
I20100213000057
Address ID
MN551252539WO2080XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

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Provider Addresses for TODD M. WATANABE (M.D.)

  • Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States

    SUITE 110

    WOODBURY, MN 551252523

    Phone: (651) 738-6600

    Fax: (651) 738-6804

    Mailing address matches the actual address.

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: 2010-02-13

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
I20100213000057IOphthalmologyMNTBD

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
92060Exam to measure eye deviation and range of motion4437$0
99213Established patient office or other outpatient visit, 20-29 minutes2922$0
92014Established patient complete exam of visual system2727$0
99214Established patient office or other outpatient visit, 30-39 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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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: 6709773823View full group profile
NameSpecialtyState
O P H T H A L M O L O G YKS
O P H T H A L M O L O G YIA
Ophthalmology, Plastic And Reconstructive SurgeryMI
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
-MN

Reviews

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Frequently asked questions

Can I cross-check TODD M. WATANABE (M.D.) using NPI 1104888742?
NPI 1104888742 belongs to TODD M. WATANABE (M.D.); compare other details if you need extra assurance.
Is there an active status for TODD M. WATANABE (M.D.)?
For scheduling context, TODD M. WATANABE (M.D.) is shown as active in the registry.
What kind of doctor is TODD M. WATANABE (M.D.)?
TODD M. WATANABE (M.D.) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is TODD M. WATANABE (M.D.) registered?
Use Woodbury, Minnesota as the headline location for TODD M. WATANABE (M.D.) here.
Can I trust this NPI listing for TODD M. WATANABE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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