Individual provider Active NPI

Jonathan Prescott Watling, MD

  • Orthopaedic Surgery Physician
  • South Portland, ME
National Provider Identifier
1306138243
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD21556 Issued in ME
Practice address
119 Gannett Dr
South Portland, ME 04106-6942
Phone
(207) 773-0040
Fax
(207) 661-4630
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 MD21556 ME Primary

Addresses

Primary practice location

119 Gannett Dr
South Portland, ME 04106-6942

Mailing address

119 Gannett Dr
South Portland, ME 04106-6942
Phone (207) 773-0040

Other practice location 1

584 Roosevelt Trl Unit 2
Windham, ME 04062-4983
Phone (207) 661-2828

Other practice location 2

335 Brighton Ave Ste 200
Portland, ME 04102-2362
Phone (207) 662-8600

Other practice location 3

5 Bucknam Rd Ste 1D
Falmouth, ME 04105-1208
Phone (207) 781-1551

Other identifiers 2

IdentifierTypeStateIssuer
NC2680MedicaidSC
1306138243MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010000504 ME Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 8527357433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

5 Bucknam Rd
Suite 1D
Falmouth, ME 04105-1208
Phone (207) 781-1775

Hospital & facility affiliations

  • Mainehealth Home Health and Hospice Home health agency, Saco, ME, CCN 207000
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Oct 1, 2017 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth CurrentSince Oct 1, 2017 Accepting new patients
Mainehealth CurrentSince Oct 1, 2017 Accepting new patients
Maine Medical Partners Orthopaedic Surgery CurrentSince Oct 1, 2017 Accepting new patients
Mainehealth Past Accepting new patients

Locations

5 Bucknam Rd
Ste 1D
Falmouth, ME 04105
Phone (207) 781-1551

335 Brighton Ave
Ste 200
Portland, ME 04102
Phone (207) 662-8600

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

119 Gannett Dr
South Portland, ME 04106
Phone (207) 773-0040

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

584 Roosevelt Trl
Unit 2
Windham, ME 04062
Phone (207) 661-2828

Interoperability endpoints

  • Direct secure messaging: jwatling183881@direct.mmc.mainehealth.org

Organizations & group practices 7

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1306138243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-773-0040",
            "fax_number": "207-661-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-773-0040",
            "fax_number": "207-661-4630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Roosevelt Trl Unit 2",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040624983",
            "country_code": "US",
            "telephone_number": "207-661-2828",
            "fax_number": "207-661-2854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Brighton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022362",
            "country_code": "US",
            "telephone_number": "207-662-8600",
            "fax_number": "207-662-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Bucknam Rd Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041051208",
            "country_code": "US",
            "telephone_number": "207-781-1551",
            "fax_number": "207-781-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATLING",
        "first_name": "JONATHAN",
        "middle_name": "PRESCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "MD21556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2680",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306138243",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.