DR. MYRA JUNE WATSON (D.O.) – Nephrology Physician, NPI 1366448425

DR. MYRA JUNE WATSON (D.O.) is a healthcare provider. based in Columbia, Missouri. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 108840 (MO). The NPI Number for DR. MYRA JUNE WATSON (D.O.) is 1366448425

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MYRA JUNE WATSON (D.O.)
NPI
1366448425
Phone
(573) 499-0642
Address
1205 W BROADWAY
Enumeration Date
23 June 2005
Last Update Date
9 April 2014

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5732972949
Graduation Year
1995 (31 years ago)
PAC ID
0749274397
Group Practice PAC ID
9234402470
Professional Enrollment ID
I20080917000284
Address ID
MO652031568CO2333XRDXX400
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

319 NEPHROLOGY in MO

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Provider Addresses for DR. MYRA JUNE WATSON (D.O.)

  • 1205, West Broadway, County Horse Branch, Columbia, Boone County, Missouri, 65203, United States

    COLUMBIA, MO 652032125

    Phone: (573) 499-0642

    Fax: (573) 449-1787

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-02-19 • Largest payer in this snapshot: Calliditas Therapeutics US Inc. ($27).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-19

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: 2008-09-17

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
I20080917000284INephrologyMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes698392$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)54480$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes30597$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)13921$0
90966Home dialysis services per month (20 years or older)11414$0
View full utilization report →

Insurance plans in this area (ZIP 65203)

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Provider's Procedures

DR. MYRA JUNE WATSON (D.O.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMO90935Hemodialysis procedure with one physician evaluation1912

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: 9234402470View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeMO
Qualified Speech Language PathologistKS
Physical Therapist In Private PracticeMO
-KS
-MO
-MO
Occupational Therapist In Private PracticeMO

Reviews

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Frequently asked questions

How is DR. MYRA JUNE WATSON (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. MYRA JUNE WATSON (D.O.) with NPI 1366448425.
Can I rely on DR. MYRA JUNE WATSON (D.O.) being an active provider?
As of the registry snapshot, DR. MYRA JUNE WATSON (D.O.) is marked active.
What taxonomy line describes DR. MYRA JUNE WATSON (D.O.)?
For research purposes, treat DR. MYRA JUNE WATSON (D.O.) as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MYRA JUNE WATSON (D.O.) based?
DR. MYRA JUNE WATSON (D.O.) is tied to Columbia, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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