PHILIP DEAN WATSON (PA) – Medical Physician Assistant, NPI 1730227299

PHILIP DEAN WATSON (PA) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1463 (OK). The NPI Number for PHILIP DEAN WATSON (PA) is 1730227299

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP DEAN WATSON (PA)
NPI
1730227299
Phone
(918) 453-1234
Address
1203 E ROSS BYP
Enumeration Date
4 February 2007
Last Update Date
7 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186964065
Graduation Year
2003 (23 years ago)
PAC ID
7416989728
Group Practice PAC ID
9638065907
Professional Enrollment ID
I20051109000514
Address ID
OK749603276ST1401XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for PHILIP DEAN WATSON (PA)

  • 1203 E ROSS BYP

    SUITE A

    TAHLEQUAH, OK 744644133

    Phone: (918) 453-1234

    Fax: (918) 453-9107

    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 17 Open Payments records for all available years, with a total value of $343.

Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($100).

Total Amount

$343

General + Research + Ownership

Payments

17

Total payment records

General Amount

$343

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2005-11-09

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
I20051109000514IPhysician AssistantOKTBD

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 minutes328136$0
99213Established patient office or other outpatient visit, 20-29 minutes182121$0
36415Insertion of needle into vein for collection of blood sample11069$0
80061Blood test, lipids (cholesterol and triglycerides)7250$0
96372Injection of drug or substance under skin or into muscle5928$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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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: 9638065907View full group profile
NameSpecialtyState
Family PracticeOK
-OK
-MO
Nurse PractitionerOK
Psychiatry, Family Practice, Emergency Medicine, Geriatric Psychiatry, PsychiatryOK
Otolaryngology, Allergy/ImmunologyOK
-TX
Osteopathic Manipulative Medicine, PsychiatryOK
Orthopedic SurgeryOK
-OK

Reviews

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Frequently asked questions

What is the standard ID for PHILIP DEAN WATSON (PA) in the U.S.?
In the U.S., PHILIP DEAN WATSON (PA) is identified by NPI 1730227299.
Does the public listing show PHILIP DEAN WATSON (PA) as active?
PHILIP DEAN WATSON (PA)'s NPI record reflects an active status in NPPES.
What type of care does PHILIP DEAN WATSON (PA) provide?
PHILIP DEAN WATSON (PA)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PHILIP DEAN WATSON (PA)?
PHILIP DEAN WATSON (PA) is associated with Tahlequah, Oklahoma in the same public data insurers reference.
Why is information missing for PHILIP DEAN WATSON (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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