1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Dentist
  6. NPI Profile

DR. SCOTT A WATTERSON DDS
NPI 1285643841
Dentist - General Practice in Jackson, MI

Active since August 05, 2006PECOS Enrolled
1030 LAURENCE AVE, STE 4, JACKSON, MI 49202(517) 782-1467(517) 782-3659 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott A Watterson Dds NPPES

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

DR. SCOTT A WATTERSON DDS (NPI 1285643841) is an individual general practice provider in Jackson, Michigan, licensed in Michigan (2901017509) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285643841
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT A WATTERSONCredential: DDS
Location Address1030 LAURENCE AVE, STE 4Jackson, MI 49202
Mailing Address1030 Laurence Ave, Ste 4Jackson, MI 49202 · (517) 782-1467 · Fax (517) 782-3659
Phone(517) 782-1467
Fax(517) 782-3659
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 11, 2019
✔ NPI 1285643841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901017509
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.
1030 LAURENCE AVE, Jackson, MI 49202
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott A Watterson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49202 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 4

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

LAURA YETTER DDS
Dentist
1030 LAURENCE AVE
JACKSON, MI 49202
Jackson County (517) 879-1746
DR. RAYMOND PAUL HOWE D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1030 LAURENCE AVE, SUITE 4
JACKSON, MI 49202
Jackson County (517) 782-1467
LAUREN TRANCIK DDS
Dentist (General Practice)
1030 LAURENCE AVE
JACKSON, MI 49202
Jackson County (517) 782-1467
MODERN ORTHODONTICS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1030 LAURENCE AVE, STE 4
JACKSON, MI 49202
Jackson County (517) 888-7338

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 Scott Watterson's NPI number?

The NPI number for Scott Watterson is 1285643841. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Scott Watterson located?

Scott Watterson practices at 1030 Laurence Ave Ste 4, Jackson, MI 49202. The listed phone number is (517) 782-1467.

What is Scott Watterson's specialty?

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

Is Scott Watterson enrolled in Medicare?

Yes. Scott Watterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Watterson was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.