DR. GONZZO WATSON (DC) – Chiropractor, NPI 1033127816

DR. GONZZO WATSON (DC) is a healthcare provider. based in West linn, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 272973 (OR). The NPI Number for DR. GONZZO WATSON (DC) is 1033127816

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. GONZZO WATSON (DC)
NPI
1033127816
Phone
(503) 697-7463
Address
18670 WILLAMETTE DRIVE
Enumeration Date
4 August 2006
Last Update Date
28 April 2008

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Secondary Phone
5036560218
Graduation Year
1995 (31 years ago)
PAC ID
4880825702
Professional Enrollment ID
I20140324001163
Address ID
OR970452685OR120XXAVEX300
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

709 CHIROPRACTIC in OR

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Provider Addresses for DR. GONZZO WATSON (DC)

  • 18670, Willamette Drive, Robinwood, West Linn, Clackamas County, Oregon, 97068, United States

    SUITE 101

    WEST LINN, OR 97068

    Phone: (503) 697-7463

    Fax: (503) 697-2743

    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: 2014-03-24

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
I20140324001163IChiropracticORTBD

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 97068)

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Provider's Procedures

DR. GONZZO WATSON (DC) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICOR98940Chiropractic manipulative treatment, 1-2 spinal regions8412

Reviews

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Frequently asked questions

Where can patients find DR. GONZZO WATSON (DC)'s NPI?
You can confirm DR. GONZZO WATSON (DC) with NPI 1033127816; it appears in the national provider directory.
Is DR. GONZZO WATSON (DC)'s NPI currently valid?
The extract we use shows DR. GONZZO WATSON (DC) as active.
What kind of provider is DR. GONZZO WATSON (DC)?
The page reflects Chiropractor for DR. GONZZO WATSON (DC). Clinical services aligned with this taxonomy classification.
Where does public data place DR. GONZZO WATSON (DC)?
The snapshot lists West Linn, Oregon for DR. GONZZO WATSON (DC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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