DR. NICODEMUS MARZETTE WATTS M.D.
NPI 1689607749
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
12625 HIGH BLUFF DR STE 111, SAN DIEGO, CA 92130(858) 598-5207(858) 598-5089 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicodemus Marzette Watts M.d. NPPES

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

DR. NICODEMUS MARZETTE WATTS M.D. (NPI 1689607749) is an individual psychiatry provider in San Diego, California, licensed in California (A88041) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2003).

NPPES Registry Identity

NPI1689607749
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. NICODEMUS MARZETTE WATTSCredential: M.D.
Location Address12625 HIGH BLUFF DR STE 111San Diego, CA 92130-2053
Mailing Address12625 High Bluff Dr Ste 111San Diego, CA 92130-2053 · (858) 598-5207 · Fax (858) 598-5089
Fax(858) 598-5089
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2003
Enumeration DateJuly 9, 2006
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
NPI 1689607749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A88041
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
12625 HIGH BLUFF DR STE 111, San Diego, CA 92130

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

Dr. Nicodemus Marzette Watts M.d. 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 ID7315945284
PECOS Enrollment IDI20061201000377
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 92130 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 6

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

Psychologist (Clinical)
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Psychologist (Clinical Child & Adolescent)
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Clinic/Center (Mental Health (Including Community Mental Health Center))
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130
Psychologist
12625 HIGH BLUFF DR STE 111
SAN DIEGO, CA 92130

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 Nicodemus Watts's NPI number?

The NPI number for Nicodemus Watts is 1689607749. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Nicodemus Watts located?

Nicodemus Watts practices at 12625 High Bluff Dr Ste 111, San Diego, CA 92130. The listed phone number is (858) 598-5207.

What is Nicodemus Watts's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicodemus Watts enrolled in Medicare?

Yes. Nicodemus Watts 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.

When was this NPI record last updated?

The NPPES record for Nicodemus Watts was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.