DR. TOM C WATSON D.M.D.
NPI 1528148384
Dentist - General Practice in Broomall, PA

Active since October 16, 2006Opted out of Medicare · through Jul 23, 2027
39 N SPROUL RD, BROOMALL, PA 19008(610) 356-8011(610) 356-3020 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tom C Watson D.m.d. NPPES

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

DR. TOM C WATSON D.M.D. (NPI 1528148384) is an individual general practice provider in Broomall, Pennsylvania, licensed in Pennsylvania (DSO-27446-L) and active in the NPI registry since October 2006. He has opted out of Medicare through July 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1528148384
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TOM C WATSONCredential: D.M.D.
Location Address39 N SPROUL RDBroomall, PA 19008-2512
Mailing Address39 N Sproul RdBroomall, PA 19008-2512 · (610) 356-8011 · Fax (610) 356-3020
Fax(610) 356-3020
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateApril 17, 2013
NPI 1528148384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DSO-27446-L
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.
39 N SPROUL RD, Broomall, PA 19008

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Tom C Watson D.m.d. 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 July 23, 2019 through July 23, 2027.

Opt-Out Effective DateJuly 23, 2019
Opt-Out In Effect ThroughJuly 23, 2027Opt-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 19008 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 2

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

Dentist
39 N SPROUL RD
BROOMALL, PA 19008
Dentist (General Practice)
39 N SPROUL RD
BROOMALL, PA 19008

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 Tom Watson's NPI number?

The NPI number for Tom Watson is 1528148384. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Tom Watson located?

Tom Watson practices at 39 N Sproul Rd, Broomall, PA 19008. The listed phone number is (610) 356-8011.

What is Tom Watson's specialty?

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

Is Tom Watson enrolled in Medicare?

No. Tom Watson has opted out of Medicare through July 23, 2027. 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.

What insurance does Tom Watson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Tom Watson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tom Watson was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.