SUSAN JANE WATSON MD
NPI 1508837691
Pediatrics in Maryville, MO

Q: What is Susan Watson's NPI number?

The NPI number for Susan Watson is 1508837691. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Q: What is Susan Watson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Watson was last updated on November 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 28, 2006PECOS Enrolled

114 E SOUTH HILLS DR, MARYVILLE, MO 64468(660) 562-2525(660) 562-4303 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Susan Jane Watson Md NPPES

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

SUSAN JANE WATSON MD (NPI 1508837691) is an individual pediatrics provider in Maryville, Missouri, licensed in Missouri (110025) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508837691

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUSAN JANE WATSONCredential: MD

Location Address114 E SOUTH HILLS DRMaryville, MO 64468-2659

Mailing Address114 E South Hills DrMaryville, MO 64468-2659 · (660) 562-4304 · Fax (660) 562-4303

Phone(660) 562-2525

Fax(660) 562-4303

Sole ProprietorNo

Enumeration DateJanuary 28, 2006

Last NPPES UpdateNovember 9, 2012

✔ NPI 1508837691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 110025

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

114 E SOUTH HILLS DR, Maryville, MO 64468

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Other Identifiers 3

Medicare UPINE41864MO

Medicare PINE269224MO

Medicaid208219816MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Jane Watson Md 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 64468 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MR. ILYA O STAGNER FNP-C

Nurse Practitioner (Family)