CONNOR ANDREW WATHEN
NPI 1619464989
Neurological Surgery in Philadelphia, RI

Active since April 22, 2018PECOS EnrolledAccepts Medicare Assignment
593 EDDY STREET, APC 6, PHILADELPHIA, RI 02903(401) 793-9166 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2025, Apr 22, 2018 (2 updates tracked since 2018).

About Connor Andrew Wathen NPPES

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

CONNOR ANDREW WATHEN (NPI 1619464989) is an individual neurological surgery provider in Philadelphia, Rhode Island, licensed in Rhode Island (MD20205) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619464989
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameCONNOR ANDREW WATHEN
Location Address593 EDDY STREET, APC 6Philadelphia, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 22, 2018
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1619464989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in RI · MD20205
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

593 EDDY STREET, Philadelphia, RI 02903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Connor Andrew Wathen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719499862
PECOS Enrollment IDI20250624002831
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 20

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

Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Anesthesiology
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Dentist (General Practice)
593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Nurse Practitioner
593 EDDY STREET, APC 4
PROVIDENCE, RI 02903

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 Connor Wathen's NPI number?

The NPI number for Connor Wathen is 1619464989. It was assigned to this individual provider in the NPPES registry on April 22, 2018.

Where is Connor Wathen located?

Connor Wathen practices at 593 Eddy Street Apc 6, Philadelphia, RI 02903. The listed phone number is (401) 793-9166.

What is Connor Wathen's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Connor Wathen enrolled in Medicare?

Yes. Connor Wathen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Connor Wathen affiliated with any hospitals?

According to CMS data, Connor Wathen is affiliated with Newport Hospital, Rhode Island Hospital, South County Hospital Inc and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Connor Wathen was last updated on June 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.