DR. TIMOTHY WELLS WATKINS MD
NPI 1922098664
Pediatrics in Hackensack, NJ

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
385 PROSPECT AVE STE 210, HACKENSACK, NJ 07601(551) 996-9175(551) 991-9165 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2022, Aug 19, 2016 (2 updates tracked since 2016).

About Dr. Timothy Wells Watkins Md NPPES

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

DR. TIMOTHY WELLS WATKINS MD (NPI 1922098664) is an individual pediatrics provider in Hackensack, New Jersey, licensed in Massachusetts (150768) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1993).

NPPES Registry Identity

NPI1922098664
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. TIMOTHY WELLS WATKINSCredential: MD
Location Address385 PROSPECT AVE STE 210Hackensack, NJ 07601-2570
Mailing Address385 Prospect Ave Ste 210Hackensack, NJ 07601-2570 · (551) 996-9175 · Fax (551) 991-9165
Fax(551) 991-9165
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1993
Enumeration DateOctober 25, 2005
Last NPPES UpdateApril 28, 20222 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1922098664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 150768
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
385 PROSPECT AVE STE 210, Hackensack, NJ 07601

Other Identifiers 3

Other150768MA · Tufts Health Plan
OtherJ21512MA · Bcbs Ma
Medicaid3194914MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Wells Watkins Md 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 ID8426032673
PECOS Enrollment IDI20190528002344
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Watkins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Pediatrics
385 PROSPECT AVE STE 210
HACKENSACK, NJ 07601
Counselor
385 PROSPECT AVE STE 210
HACKENSACK, NJ 07601
Social Worker (Clinical)
385 PROSPECT AVE STE 210
HACKENSACK, NJ 07601

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 Timothy Watkins's NPI number?

The NPI number for Timothy Watkins is 1922098664. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Timothy Watkins located?

Timothy Watkins practices at 385 Prospect Ave Ste 210, Hackensack, NJ 07601. The listed phone number is (551) 996-9175.

What is Timothy Watkins's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Timothy Watkins enrolled in Medicare?

Yes. Timothy 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.

Which organizations bill Medicare for Timothy Watkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Watkins reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Watkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Watkins accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Timothy Watkins 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 Timothy Watkins was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.