EVERETT B WATSON JR. DDS
NPI 1265654339
Dentist - General Practice in Waco, TX

Active since May 02, 2007Opted out of Medicare · through Jan 11, 2028
8104 WOODWAY DR., WACO, TX 76712(254) 772-4514(254) 772-6271 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Everett B Watson Jr. Dds NPPES

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

EVERETT B WATSON JR. DDS (NPI 1265654339) is an individual general practice provider in Waco, Texas, licensed in Texas (16468) and active in the NPI registry since May 2007. He has opted out of Medicare through January 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265654339
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEVERETT B WATSON JR.Credential: DDS
Location Address8104 WOODWAY DR.Waco, TX 76712-3804
Mailing Address8104 Woodway Dr.Waco, TX 76712-3804 · (254) 772-4514 · Fax (254) 772-6271
Fax(254) 772-6271
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1265654339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 16468
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8104 WOODWAY DR., Waco, TX 76712

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Everett B Watson Jr. Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2016 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2016
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Everett Watson's NPI number?

The NPI number for Everett Watson is 1265654339. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Everett Watson located?

Everett Watson practices at 8104 Woodway Dr., Waco, TX 76712. The listed phone number is (254) 772-4514.

What is Everett Watson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Everett Watson enrolled in Medicare?

No. Everett Watson has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Everett Watson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.