NPIMap

Individual provider Active NPI

Jonathon David Watts, MD

  • Orthopaedic Surgery Physician
  • Deland, FL
National Provider Identifier
1194786293
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME153739 Issued in FL
Practice address
740 W Plymouth Ave
Deland, FL 32720-3282
Phone
(386) 734-9122
Fax
(833) 450-4859
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME153739 FL Primary

Addresses

Primary practice location

740 W Plymouth Ave
Deland, FL 32720-3282

Mailing address

740 W Plymouth Ave
Deland, FL 32720-3282
Phone (386) 734-9122

Other practice location 1

1053 Medical Center Dr Ste 101
Orange City, FL 32763-8259
Phone (386) 734-9122 ext. 104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000927 FL Practitioner - Orthopedic Surgery 5395725261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, Inc 1,249 clinicians
Ability Health Services and Rehabilitation LP 1,260 clinicians
Florida Orthopaedic Associates PA 24 clinicians
Tallahassee Orthopedic Clinic III PL 538 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

740 W Plymouth Ave
Deland, FL 32720-3282
Phone 38673491221040

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Port Orange, FL, CCN 687137
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Florida Orthopaedic Associates PA Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Tallahassee Orthopedic Clinic III PL Orthopaedic Surgery CurrentSince Feb 1, 2026 Accepting new patients
Florida Orthopaedic Associates PA Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Feb 1, 2026 Accepting new patients
Karen Potaczek, D.D.S., P.C. Past Accepting new patients

Locations

740 W Plymouth Ave
Fl Orthopaedic
Deland, FL 32720
Phone 81397897007646

740 W Plymouth Ave
Deland, FL 32720
Phone (386) 734-9122

617 Canal St
Ste 110
New Smyrna Beach, FL 32168
Phone (386) 734-9122

1053 Medical Center Dr
Ste 101
Orange City, FL 32763
Phone (386) 744-2500

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jonathon.watts.1@29635.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1194786293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-9122",
            "fax_number": "386-736-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-9122",
            "fax_number": "833-450-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 Medical Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638259",
            "country_code": "US",
            "telephone_number": "386-734-9122 x104",
            "fax_number": "833-450-4859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JONATHON",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME153739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.