MARK G WATKINS (DO) – Pediatrics Physician, NPI 1770617029

MARK G WATKINS (DO) is a healthcare provider. based in Toledo, Ohio. specializing in PEDIATRIC MEDICINE. They hold the professional credentials DO. They hold a License No. 34-009077 (OH). The NPI Number for MARK G WATKINS (DO) is 1770617029

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARK G WATKINS (DO)
NPI
1770617029
Phone
(419) 537-5111
Address
2100 W CENTRAL AVE
Enumeration Date
16 March 2007
Last Update Date
2 June 2021

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
4193811881
Graduation Year
2000 (26 years ago)
PAC ID
6103915632
Group Practice PAC ID
0143133181
Professional Enrollment ID
I20071205000422
Address ID
OH436142701TO930XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,709 PEDIATRIC MEDICINE in OH

Provider Addresses for MARK G WATKINS (DO)

  • 2100 W CENTRAL AVE

    SUITE 100

    TOLEDO, OH 436063834

    Phone: (419) 537-5111

    Fax: (419) 537-5131

    Type: Mailing

  • 5701 SWAN CREEK DR

    TOLEDO, OH 436141104

    Phone: (419) 490-6448

    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: 2007-12-05

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
I20071205000422IPediatric MedicineOHTBD

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 43606)

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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: 0143133181View full group profile
NameSpecialtyState
-OH
Clinical PsychologistOH
P S Y C H I A T R YOH
Certified Clinical Nurse Specialist (Cns)OH
Clinical PsychologistOH
Family PracticeOH
-OH
-OH
-MD
-OH

Reviews

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Frequently asked questions

What identifier follows MARK G WATKINS (DO) across health systems?
The NPI 1770617029 uniquely identifies MARK G WATKINS (DO) in U.S. healthcare data.
Does the public listing show MARK G WATKINS (DO) as active?
MARK G WATKINS (DO)'s NPI record reflects an active status in NPPES.
Which specialty label fits MARK G WATKINS (DO)?
NPPES ties MARK G WATKINS (DO) to Pediatrics Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARK G WATKINS (DO)?
The directory associates MARK G WATKINS (DO) with Toledo, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for MARK G WATKINS (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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