ROBERTA ANN WATTLEWORTH D.O.
NPI 1558353219
Family Medicine in Des Moines, IA

Q: What is Roberta Wattleworth's NPI number?

The NPI number for Roberta Wattleworth is 1558353219. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Roberta Wattleworth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 18, 2005PECOS Enrolled

3200 GRAND AVE, DES MOINES, IA 50312(515) 271-1710(515) 271-1575 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roberta Ann Wattleworth D.o. NPPES

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

ROBERTA ANN WATTLEWORTH D.O. (NPI 1558353219) is an individual family medicine provider in Des Moines, Iowa, licensed in Iowa (13248) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558353219

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameROBERTA ANN WATTLEWORTHCredential: D.O.

Location Address3200 GRAND AVEDes Moines, IA 50312-4104

Mailing Address3200 Grand AveDes Moines, IA 50312-4104 · (515) 271-1710 · Fax (515) 271-1575

Phone(515) 271-1710

Fax(515) 271-1575

Sole ProprietorNo

Enumeration DateAugust 18, 2005

Last NPPES UpdateFebruary 24, 2010

✔ NPI 1558353219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 13248

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3200 GRAND AVE, Des Moines, IA 50312

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Other Identifiers 4

Other080147596IA · Rr Medicare

Medicare UPIND46451

Medicaid1250795IA

Medicare PIN04562IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberta Ann Wattleworth D.o. 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 50312 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

DR. JARROD ALEXANDER SMITH DPM

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