AGATHA RAE WATSON (PA) – Physician Assistant, NPI 1245492545

AGATHA RAE WATSON (PA) is a healthcare provider. based in Decatur, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA05810 (TX). The NPI Number for AGATHA RAE WATSON (PA) is 1245492545

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
AGATHA RAE WATSON (PA)
NPI
1245492545
Phone
(406) 262-1109
Address
800 MEDICAL CENTER DR STE C
Enumeration Date
27 June 2008
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
3476611591
Group Practice PAC ID
3779658190
Professional Enrollment ID
I20081018000050
Address ID
TX762343844DE800XXCXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for AGATHA RAE WATSON (PA)

  • 800, Medical Center Drive, Decatur, Wise County, Texas, 76234, United States

    DECATUR, TX 762343844

    Phone: (406) 262-1109

    Fax: (940) 626-2113

    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 84 Open Payments records for all available years, with a total value of $1,534.

Total Amount is formed as General ($1,534) + Research ($0) + Ownership ($0) = $1,534.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($448).

Total Amount

$1,534

General + Research + Ownership

Payments

84

Total payment records

General Amount

$1,534

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-10-18

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
I20081018000050IPhysician AssistantTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg43547$0
99203New patient office or other outpatient visit, 30-44 minutes240239$0
J0696Injection, ceftriaxone sodium, per 250 mg9829$0
96372Injection of drug or substance under skin or into muscle8764$0
87804Detection test by immunoassay with direct visual observation for influenza virus5930$0
View full utilization report →

Insurance plans in this area (ZIP 76234)

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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: 3779658190View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Family PracticeTX-TEXAS
Physician AssistantTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I cross-check AGATHA RAE WATSON (PA) using NPI 1245492545?
NPI 1245492545 belongs to AGATHA RAE WATSON (PA); compare other details if you need extra assurance.
Active or inactive — what applies to AGATHA RAE WATSON (PA)?
You should see AGATHA RAE WATSON (PA) as active in CMS-hosted NPPES data.
How would a patient describe AGATHA RAE WATSON (PA)'s focus?
For AGATHA RAE WATSON (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with AGATHA RAE WATSON (PA)?
Directory geography for AGATHA RAE WATSON (PA) centers on Decatur, Texas.
Can I trust this NPI listing for AGATHA RAE WATSON (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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