DR. KENNETH R WATSON (DO) – Anatomic Pathology & Clinical Pathology Physician, NPI 1114905221
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
406 PATHOLOGY in MO
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Provider Addresses for DR. KENNETH R WATSON (DO)
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone: (214) 932-8029
Fax: (610) 271-4245
Type: Mailing
10330, Hickman Mills Drive, Holmes Park, Kansas City, Jackson County, Missouri, 64137, United States
KANSAS CITY, MO 641371618
Phone: (816) 412-7004
Fax: (816) 763-7536
Type: Location
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: 2007-03-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040602000116 | I | Pathology | MO | TBD |
| I20070316000291 | I | Pathology | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 117 | 78 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 15 | 13 | $0 |
Insurance plans in this area (ZIP 75001)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | OR | |
| P A T H O L O G Y | LA | |
| P A T H O L O G Y | KS | |
| P A T H O L O G Y | IA | |
| Pathology, Hematology | NC | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | KS | |
| P A T H O L O G Y | NM | |
| P A T H O L O G Y | KS |
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