DR. MICAH M WATTS (MD) – Vascular & Interventional Radiology Physician, NPI 1154598480

DR. MICAH M WATTS (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD443009 (PA). The NPI Number for DR. MICAH M WATTS (MD) is 1154598480

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICAH M WATTS (MD)
NPI
1154598480
Phone
(215) 612-4811
Address
10800 Knights Rd
Enumeration Date
15 May 2008
Last Update Date
4 December 2019

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
7328406500
Graduation Year
2006 (20 years ago)
PAC ID
6204090590
Group Practice PAC ID
0345215141
Professional Enrollment ID
I20170220000110
Address ID
NJ087247732BR455XXBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

372 INTERVENTIONAL RADIOLOGY in PA

Provider Addresses for DR. MICAH M WATTS (MD)

  • 10800 Knights Rd

    Philadelphia, PA 191144200

    Phone: (215) 612-4811

    Fax: (215) 612-5494

    Type: Location

  • 380 Oxford Valley Rd

    Langhorne, PA 190478304

    Phone: (215) 949-5111

    Fax: (215) 949-7815

    Type: Location

  • 4900 Frankford Ave

    Philadelphia, PA 191242618

    Phone: (215) 831-2063

    Fax: (215) 831-2251

    Type: Location

  • 10160 Bustleton Ave

    Philadelphia, PA 191163749

    Phone: (215) 827-8200

    Fax: (215) 969-7374

    Type: Location

  • 2451 Grant Ave

    Philadelphia, PA 191141031

    Phone: (215) 464-8050

    Fax: (215) 673-5767

    Type: Location

  • 101, East Jimmie Leeds Road, The Woods at Great Creek, Galloway Township, Atlantic County, New Jersey, 08205, United States

    GALLOWAY, NJ 082059599

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $63,623.

Total Amount is formed as General ($63,623) + Research ($0) + Ownership ($0) = $63,623.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Philips North America LLC ($19,174).

Total Amount

$63,623

General + Research + Ownership

Payments

97

Total payment records

General Amount

$63,623

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2017-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120618000580IDiagnostic RadiologyPATBD
I20170220000110IInterventional RadiologyNJTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml14,64595$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes21347$0
J0690Injection, cefazolin sodium, 500 mg20755$0
J2405Injection, ondansetron hydrochloride, per 1 mg20145$0
J2250Injection, midazolam hydrochloride, per 1 mg14064$0
View full utilization report →

Insurance plans in this area (ZIP 19114)

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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: 0345215141View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyNJ
-NJ
-NJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Vascular Surgery, General SurgeryNJ
Diagnostic RadiologyPA
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for DR. MICAH M WATTS (MD)?
The registry entry for DR. MICAH M WATTS (MD) shows NPI 1154598480.
Does the public listing show DR. MICAH M WATTS (MD) as active?
DR. MICAH M WATTS (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. MICAH M WATTS (MD)'s specialty?
The extract shows Vascular & Interventional Radiology Physician for DR. MICAH M WATTS (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MICAH M WATTS (MD)?
DR. MICAH M WATTS (MD) shows a connection to Philadelphia, Pennsylvania in registry-derived data.
Why is information missing for DR. MICAH M WATTS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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