Paul Wallace Watts, D.O.
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Abilene, TX
NPI 1285600684 · NPPES record last updated Aug 10, 2011
Key facts
- NPI
- 1285600684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- L5180 (TX)
- Practice address
- 1749 Pine St
Abilene, TX 79601-3043 - Phone
- (325) 672-4372
- Fax
- (325) 673-0856
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hendrick Provider Network
The West Texas Rehabilitation Center
Practice addresses (Care Compare)
1633 Cottonwood St
Abilene, TX 79601-3033
Phone (325) 672-4372
1900 Pine St
Abilene, TX 79601-2432
1904 Pine St
Abilene, TX 79601-2450
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Enhabit Home Health
- Hendrick Medical Center
- Hendrick Medical Center Brownwood
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- Quality
- 63.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040823001439 | TX | Practitioner - Family Practice |
5092789230 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Provider Network | Current |
Accepting new patients | |
| Hendrick Provider Network | Current |
Accepting new patients | |
| Abilene Bone & Joint Clinic | Current |
Accepting new patients | |
| Eastland Memorial Hospital District | Interventional Pain Medicine | Past | Accepting new patients |
| Eastland Memorial Hospital District | Interventional Pain Medicine | Past | Accepting new patients |
| Kansas Orthopaedic Center, P.a. | Past | Accepting new patients |
Locations
1749 Pine St
Abilene, TX 79601
Phone (325) 672-4372
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
1633 Cottonwood St
Abilene, TX 79601
Phone (325) 672-4372
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601
1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321
200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701
Interoperability endpoints
- paul.watts.1@21794.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | L5180 | TX | Yes |
| Interventional Pain Medicine Physician | 208VP0014X | L5180 | TX |
Addresses
Primary practice location
1749 Pine St
Abilene, TX 79601-3043
Mailing address
1749 Pine St
Abilene, TX 79601-3043
Phone (325) 672-4372
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200365110A | Medicaid | KS | |
| 8K6896 | Other | TX | MEDICARE |
Other providers in Abilene, TX
- Elizabeth Marie Watson
- Hailey Watson
- Kevin Andrew Watson
- Amy Elizabeth Watts
- Julie Watts
- Shelby Lee Weatherford Jr.
- Alexi Elizabeth Weaver
- Chelsea Weaver
- Jacqueline Christine Weaver
- Marolyn Reynolds Weaver
All providers in Abilene, TX · Sports Medicine (Family Medicine) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.