NICHOLAS D WATKINS PA-C
NPI 1689206492
Physician Assistant in Effingham, IL

Active since February 10, 2020PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1303 W EVERGREEN AVE STE 200, EFFINGHAM, IL 62401(217) 342-3400(217) 342-6417 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2022, Jan 27, 2022, Sep 10, 2021 and 2 more (5 updates tracked since 2020).

About Nicholas D Watkins Pa-c NPPES

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

NICHOLAS D WATKINS PA-C (NPI 1689206492) is an individual physician assistant in Effingham, Illinois, licensed in Illinois (085007501) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689206492
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS D WATKINSCredential: PA-C
Location Address1303 W EVERGREEN AVE STE 200Effingham, IL 62401-1638
Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4653 · (217) 868-2812 · Fax (217) 258-2216
Fax(217) 342-6417
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 10, 2020
Last NPPES UpdateAugust 16, 20225 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1689206492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085007501
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1303 W EVERGREEN AVE STE 200, Effingham, IL 62401

Secondary Practice Locations 3

Location 1934 N Route 49 Ste ACasey, IL 62420-1454 · Phone (217) 932-4061 · Fax (217) 932-5191
Location 2104 Courthouse SqToledo, IL 62468-1052 · Phone (217) 849-3151 · Fax (217) 849-3123
Location 31303 W Evergreen Ave Ste 100Effingham, IL 62401-1638 · Phone (217) 540-6123

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

Nicholas D Watkins Pa-c 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 ID4284055450
PECOS Enrollment IDI20200527001230
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services46 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
30 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services19 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
11 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401
Orthopaedic Surgery
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401
Orthopaedic Surgery
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401
Physician Assistant
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401
Nurse Practitioner (Family)
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401
Nurse Practitioner (Family)
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401
Nurse Practitioner (Family)
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401
Orthopaedic Surgery
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 62401

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 Nicholas Watkins's NPI number?

The NPI number for Nicholas Watkins is 1689206492. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Nicholas Watkins located?

Nicholas Watkins practices at 1303 W Evergreen Ave Ste 200, Effingham, IL 62401. The listed phone number is (217) 342-3400.

What is Nicholas Watkins's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Watkins enrolled in Medicare?

Yes. Nicholas Watkins 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 Nicholas Watkins affiliated with any hospitals?

According to CMS data, Nicholas Watkins is affiliated with St Anthonys Memorial Hospital, Sarah Bush Lincoln Health Center and Fayette County Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Watkins was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.