THEODORE WATSON (M.D.) – Emergency Medicine Physician, NPI 1407061211

THEODORE WATSON (M.D.) is a healthcare provider. based in Hershey, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MT187385 (PA). The NPI Number for THEODORE WATSON (M.D.) is 1407061211

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE WATSON (M.D.)
NPI
1407061211
Phone
(717) 531-1692
Address
500 UNIVERSITY DR
Enumeration Date
14 May 2007
Last Update Date
2 December 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7325751956
Graduation Year
2005 (21 years ago)
PAC ID
0547329062
Group Practice PAC ID
8224368949
Professional Enrollment ID
I20100209000753
Address ID
PA189601548SE700XXAVEX300
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

3,391 EMERGENCY MEDICINE in PA

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Provider Addresses for THEODORE WATSON (M.D.)

  • Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States

    H088

    HERSHEY, PA 170332360

    Phone: (717) 531-1692

    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: 2010-02-09

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
I20100209000753IEmergency MedicinePATBD

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
99284Emergency department visit with moderate level of medical decision making355334$0
99285Emergency department visit with high level of medical decision making344333$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only318301$0
99291Critical care, first 30-74 minutes137136$0
99283Emergency department visit with low level of medical decision making1412$0
View full utilization report →

Insurance plans in this area (ZIP 17033)

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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: 8224368949View full group profile
NameSpecialtyState
-PA
Emergency MedicinePA
Emergency MedicineVA
Emergency MedicineNJ
-PA
Internal MedicinePA
Emergency MedicinePA
Emergency MedicinePA
Emergency MedicineNJ
Emergency MedicinePA

Reviews

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Frequently asked questions

What is THEODORE WATSON (M.D.)'s NPI number?
THEODORE WATSON (M.D.)'s NPI is 1407061211 — the number used across U.S. healthcare to identify this provider.
Is THEODORE WATSON (M.D.) still an active registrant?
THEODORE WATSON (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is THEODORE WATSON (M.D.)?
THEODORE WATSON (M.D.) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is THEODORE WATSON (M.D.) located near Hershey?
THEODORE WATSON (M.D.) currently maps to Hershey, Pennsylvania in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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