Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770617029 Individual Practitioner Male Practitioner

Dr. Mark G Watkins , DO

Pediatrics • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Watkins, DO is a certified Pediatrics practicing in Toledo, OH. With approximately 26 years of clinical experience since graduating from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2000, Dr. Watkins delivers high-quality medical care to the local community at 5701 SWAN CREEK DR.

Dr. Watkins is affiliated with State Of Ohio Office Of Budget And Management State Accounting and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, advance care planning, first, initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5701 Swan Creek Dr

Toledo, OH 436141104

Telephone 4194906448

Medicare Profile & Education

Medical School

Kansas City University Of Med & Biosciences, College Of Osteo Med

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Toledo, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +9.2 yrs vs City Avg
City Avg: 16.8 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
85 Specialists

Practicing in Toledo, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Watkins (26 Years) 26 Yrs
Toledo Specialty Average (16.8 Years) 16.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
58 18 $139.00 $70.40
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
55 43 $75.36 $38.05
99497 Advance care planning, first 30 minutes
32 32 $166.00 $78.18
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
22 19 $79.00 $38.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
21 20 $150.00 $70.40
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
19 19 $152.74 $76.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
18 16 $214.00 $101.90
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
14 14 $268.00 $126.43

Medical Specialties & State Licenses

CMS Verified: 2021-06-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 5101016254

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.

Pediatrics - Pediatric Endocrinology

NUCC Taxonomy Code: 2080P0205X

State License OH 34-009077

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

General Practice

NUCC Taxonomy Code: 208D00000X

State License OH 34.009077

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License MI 5101016254

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1770617029 (MI)
Medicaid State Provider ID
2801187 (OH)
Commercial Insurance / Payer ID Paramount
06807 (OH)
Commercial Insurance / Payer ID Aetna
9666061 (OH)
Commercial Insurance / Payer ID Anthem
000000547496 (OH)

Hospital & Practice Group Affiliations

State Of Ohio Office Of Budget And Management State Accounting

930 S Detroit Ave, Toledo, OH 436142701

Phone: 4193811881

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 02, 2021

Registered at 5701 SWAN CREEK DR, TOLEDO, OH 436141104 (Tel: 4194906448)

📍
Updated Business Mailing Address June 02, 2021

Registered at 5701 SWAN CREEK DR, TOLEDO, OH 436141104 (Tel: 4194906448)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Pediatrics (License #34-009077 in OH)

NPI Profile Active February 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2014

Registered at 2100 W CENTRAL AVE, SUITE 100, TOLEDO, OH 436063834 (Tel: 4195375111)

📍
Updated Business Mailing Address February 26, 2014

Registered at 2100 W CENTRAL AVE, SUITE 100, TOLEDO, OH 436063834 (Tel: 4195375111)

👤
Provider Name / Credentials Updated February 26, 2014

Recorded as MARK WATKINS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2014

Pediatrics (License #5101016254 in MI)

🟢
Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770617029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: June 02, 2021
Sole Proprietor: No

Mailing Address

5701 Swan Creek Dr

Toledo, OH 436141104

Phone: 4194906448

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.