CONNIE T WIDDOWSON D O
NPI 1053570267
Obstetrics & Gynecology in Dublin, CA

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
4050 DUBLIN BLVD, DUBLIN, CA 94568(925) 875-6100 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2021, Mar 25, 2021 (2 updates tracked since 2021).

About Connie T Widdowson D O NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE T WIDDOWSON D O (NPI 1053570267) is an individual obstetrics & gynecology provider in Dublin, California, licensed in California (20A10427) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053570267
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCONNIE T WIDDOWSONCredential: D O
Location Address4050 DUBLIN BLVDDublin, CA 94568-3112
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-5356 · Fax (877) 738-4262
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 3, 2008
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1053570267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · 20A10427
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4050 DUBLIN BLVD, Dublin, CA 94568

Other Identifiers 1

Other20A10427CA · Ca License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Connie T Widdowson D O is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032304712
PECOS Enrollment IDI20101108000561
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94568 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4050 DUBLIN BLVD
DUBLIN, CA 94568
Pediatrics
4050 DUBLIN BLVD
DUBLIN, CA 94568
Pediatrics
4050 DUBLIN BLVD
DUBLIN, CA 94568
Dermatology
4050 DUBLIN BLVD
DUBLIN, CA 94568
Dietitian, Registered
4050 DUBLIN BLVD
DUBLIN, CA 94568
Family Medicine
4050 DUBLIN BLVD
DUBLIN, CA 94568
Social Worker (Clinical)
4050 DUBLIN BLVD
DUBLIN, CA 94568
Pediatrics
4050 DUBLIN BLVD
DUBLIN, CA 94568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Widdowson's NPI number?

The NPI number for Connie Widdowson is 1053570267. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Connie Widdowson located?

Connie Widdowson practices at 4050 Dublin Blvd, Dublin, CA 94568. The listed phone number is (925) 875-6100.

What is Connie Widdowson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Connie Widdowson enrolled in Medicare?

Yes. Connie Widdowson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Connie Widdowson was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.