TYLER WATSON DO
NPI 1891277307
Family Medicine in Jefferson City, MO
NPI Status: Active since August 30, 2018
Contact Information
1125 MADISON ST
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 632-5000
- Individual
- Male
- Family Medicine
- PECOS Enrolled
- Opted-Out Medicare
About TYLER WATSON
This page provides the complete NPI Profile along with additional information for Tyler Watson, a primary care provider established in Jefferson City, Missouri with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1891277307 assigned on August 2018. The practitioner's primary taxonomy code is 207Q00000X with license number 2021024093 (MO). The provider is registered as an individual and his NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1891277307
- Provider Name
- TYLER WATSON DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1125 MADISON ST JEFFERSON CITY, MO 65101
- Location Phone
- (573) 632-5000
- Mailing Address
- 1125 MADISON ST JEFFERSON CITY, MO 65101
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-30-2018
- Last Update Date
- 06-25-2021
- Code Navigator
A primary care provider (PCP) like Tyler Watson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Tyler Watson opted out of Medicare effective on 06-14-2023 until 06-14-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 1111 W 17th St
Tulsa, OK 74107
(405) 748-0562
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2021024093
- License State
- MO
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Tyler Watson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-14-2023
Opt-Out End Date: 06-14-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 65101 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.64
- Minimum New Patient Price $52.28
- Maximum New Patient Price $161.24
- Average New Patient Copayment $20.41
- Minimum New Patient Copayment $13.07
- Maximum New Patient Copayment $40.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.24
- Minimum Established Patient Price $16.3
- Maximum Established Patient Price $131.05
- Average Established Patient Copayment $23.31
- Minimum Established Patient Copayment $4.07
- Maximum Established Patient Copayment $32.76
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 9 | 1 | 2 | 7 | 7 | 3 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 18 | 1 | 4 | 7 | 14 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 8 + 1 + 4 + 7 + 1 + 4 + 3 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1891277307 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669453866 | DR. MATTHEW A HRASTICH D.O. Individual | Radiology (Diagnostic Radiology) | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5263 |
| 1497735724 | JOHN J WADDELL MD Individual | Radiology (Diagnostic Radiology) | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5265 |
| 1518935626 | MR. TRENT ALLEN TAYLOR MD Individual | Emergency Medicine | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5000 |
| 1952364036 | BART EDWARD HORTON C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5357 |
| 1245285881 | THOMAS SCOTT LEUPOLD CRNA Individual | Nurse Anesthetist, Certified Registered | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5357 |
| 1639126477 | JOSEPH N. TOMBLINSON D.O. Individual | Emergency Medicine | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5000 |
| 1235176454 | ALAN ROBERT LEMERANDE JR. M.D. Individual | Emergency Medicine | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5000 |
| 1972542306 | NURSE ANESTHESIA OF MISSOURI, LLC Organization | Nurse Anesthetist, Certified Registered | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5357 |
| 1144261736 | STEVEN J JUDGE MD Individual | Emergency Medicine | 1125 MADISON ST JEFFERSON CTY, MO 65101 (573) 632-5436 |
| 1447290150 | WILLIAM DAVID SMITTLE D.O. Individual | Emergency Medicine | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5000 |
| 1508806217 | DOUGLAS LEE WHEELER D.O. Individual | Emergency Medicine | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5000 |
| 1629013222 | CAPITAL CITY ANESTHESIA AND PERIOPERATIVE PHYSICIANS, LLC Organization | Anesthesiology | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5841 |
| 1538266317 | SCOTT SCHEPKER M.D. Individual | Emergency Medicine | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5000 |
| 1508964479 | DENZIL J. HAWES-DAVIS D.O. Individual | Radiology (Diagnostic Radiology) | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 635-7141 |
| 1558455196 | MITCHELL TERUICHI GODBEE MD Individual | Radiology (Diagnostic Radiology) | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5265 |
| 1710021662 | PAULA J BURNETT PT Individual | Physical Therapist | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5615 |
| 1194869354 | ALICE L GRIGGS P.T. Individual | Physical Therapist | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5621 |
| 1801931092 | NATALIE M GREEN COTA Individual | Occupational Therapy Assistant | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5440 |
| 1124163589 | MRS. JENNIFER DIANE HICKMAN P.T. Individual | Physical Therapist | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5622 |
| 1336284777 | MRS. JENNIFER RAE SEGERSTROM MSPT Individual | Physical Therapist | 1125 MADISON ST JEFFERSON CITY, MO 65101 (573) 632-5440 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891277307, enumerated in the NPI registry as an "individual" on August 30, 2018
The provider is located at 1125 Madison St Jefferson City, Mo 65101 and the phone number is (573) 632-5000
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.64 with an average copayment of $20.41 for new patient appointments. Established patients should expect a typical charge of $93.24 and an average copayment of 23.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on June 14, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until June 14, 2025.
This NPI record was last updated on August 30, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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