DR. WALTER EDWIN IV WATTS (M.D.) – Radiation Oncology Physician, NPI 1174784540

DR. WALTER EDWIN IV WATTS (M.D.) is a healthcare provider. based in Muskogee, Oklahoma. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 27100 (OK). The NPI Number for DR. WALTER EDWIN IV WATTS (M.D.) is 1174784540

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALTER EDWIN IV WATTS (M.D.)
NPI
1174784540
Phone
Not provided
Address
300 ROCKEFELLER DR
Enumeration Date
18 June 2008
Last Update Date
2 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9186825501
Graduation Year
2008 (18 years ago)
PAC ID
2668613951
Group Practice PAC ID
7315216215
Professional Enrollment ID
I20130730000061
Address ID
OK744015075MU300XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

158 RADIATION ONCOLOGY in MO

Provider Addresses for DR. WALTER EDWIN IV WATTS (M.D.)

  • 300 ROCKEFELLER DR

    MUSKOGEE, OK 744015075

    Phone:

    Type: Mailing

  • 1501 N OAKLAND AVE

    BOLIVAR, MO 656133020

    Phone: (417) 326-7200

    Type: Mailing

  • 13217, South 65th East Place, Bixby, Tulsa County, Oklahoma, 74008, United States

    BIXBY, OK 740083846

    Phone: (918) 949-6676

    Fax: (918) 949-6670

    Type: Mailing

  • Hillcrest Medical Center, 1120, South Utica Avenue, Midtown Terrace, Tulsa, Tulsa County, Oklahoma, 74104, United States

    TULSA, OK 741044012

    Phone: (918) 949-6676

    Fax: (918) 949-6670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 177 Open Payments records for all available years, with a total value of $3,917.

Total Amount is formed as General ($3,917) + Research ($0) + Ownership ($0) = $3,917.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Lilly USA, LLC ($426).

Total Amount

$3,917

General + Research + Ownership

Payments

177

Total payment records

General Amount

$3,917

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

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: 2013-07-30

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
I20130730000061IRadiation OncologyOKTBD

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
77014Ct guidance for insertion of radiation therapy fields67235$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session61337$0
77300Calculation of radiation therapy dose23455$0
77427Radiation treatment management, 5 treatment sessions18555$0
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev17925$0
View full utilization report →

Insurance plans in this area (ZIP 74401)

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Provider's Procedures

DR. WALTER EDWIN IV WATTS (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYOK77263Management of radiation therapy, complex1414
RADIATION ONCOLOGYOK77427Radiation treatment management, 5 treatments9126

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: 7315216215View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)OK
Cardiovascular Disease (Cardiology), Internal MedicineOK
Hematology/Oncology, Internal MedicineOK
Medical OncologyTX
H E M A T O L O G Y/ O N C O L O G YAR
-OK
Cardiovascular Disease (Cardiology), Internal MedicineOK
Cardiovascular Disease (Cardiology)OK
Interventional Cardiology, Cardiovascular Disease (Cardiology)OK

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Frequently asked questions

What is DR. WALTER EDWIN IV WATTS (M.D.)'s NPI number?
DR. WALTER EDWIN IV WATTS (M.D.)'s NPI is 1174784540 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. WALTER EDWIN IV WATTS (M.D.)?
For scheduling context, DR. WALTER EDWIN IV WATTS (M.D.) is shown as active in the registry.
What expertise is attributed to DR. WALTER EDWIN IV WATTS (M.D.)?
DR. WALTER EDWIN IV WATTS (M.D.)'s specialty line reads Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. WALTER EDWIN IV WATTS (M.D.) located near Muskogee?
DR. WALTER EDWIN IV WATTS (M.D.) currently maps to Muskogee, Oklahoma in this extract.
When was this NPI issued?
Enumeration for DR. WALTER EDWIN IV WATTS (M.D.) is noted as June 18, 2008 where the registry provides it.