Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Mark G Watkins , DO

Pediatrics โ€ข Toledo, OH

Active NPI 1770617029 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

5701 Swan Creek Dr
Toledo, OH 436141104

Call 4194906448 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5701 Swan Creek Dr

Toledo, OH 436141104

Telephone 4194906448
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: State Of Ohio Office Of Budget And Management State Accounting. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

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

Graduation Year

2000

Medicare patients

137 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $16,044 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $12,783 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

542 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$32,255 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $119.35 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Watkins has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Watkins as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Toledo and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Pediatrics in Ohio (2024, 32 clinicians with data). Median for this group: 129. Middle half: 57 to 322.

Too few clinicians listed under Pediatrics in Toledo have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Pediatrics in Ohio (2024, 32 clinicians with data). Median for this group: $11,283. Middle half: $5,781 to $26,738.

Too few clinicians listed under Pediatrics in Toledo have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Pediatrics in Ohio (2024, 32 clinicians with data). Median for this group: $8,847. Middle half: $4,247 to $19,479.

Too few clinicians listed under Pediatrics in Toledo have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Pediatrics in Ohio (2024, 68 clinicians with data). Median for this group: 38. Middle half: 14 to 225.

Too few clinicians listed under Pediatrics in Toledo have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Pediatrics in Ohio (2024, 68 clinicians with data). Median for this group: $4,202. Middle half: $613 to $36,088.

Too few clinicians listed under Pediatrics in Toledo have Medicare Part D data for 2024 to compare.

84 active clinicians are listed under Pediatrics with a practice address in Toledo, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Toledo

0% of these 84 clinicians have the CMS telehealth indicator.

10.7% of these 84 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $119.35.

Manufacturer Payment Nature Product Type Amount ($)
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
โ€” General $119.35

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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, 20 minutes or more
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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Abrysvo Rsv Vacc, Pref A And Pref B/Pf 46 50 $14,182.23 46
Shingrix Varicella-Zoster Ge/As01b/Pf 44 44 $9,320.50 40
Warfarin Sodium Warfarin Sodium 32 282 $199.71 โ€”
Atorvastatin Calcium Atorvastatin Calcium 28 451 $283.18 16
Pantoprazole Sodium Pantoprazole Sodium 26 392 $249.86 13
Eliquis Apixaban 23 217 $4,483.79 โ€”
Alprazolam Alprazolam 21 269 $217.75 โ€”
Mirtazapine Mirtazapine 21 271 $209.91 โ€”
Prednisone Prednisone 20 180 $115.90 11
Sertraline Hcl Sertraline Hcl 19 393 $191.37 โ€”
Metoprolol Succinate Metoprolol Succinate 19 240 $169.39 โ€”
Tramadol Hcl Tramadol Hcl 18 191 $341.09 โ€”
Furosemide Furosemide 18 264 $83.91 โ€”
Trazodone Hcl Trazodone Hcl 18 259 $140.74 12
Metoprolol Tartrate Metoprolol Tartrate 17 270 $110.23 11
Gabapentin Gabapentin 17 222 $153.83 โ€”
Buspirone Hcl Buspirone Hcl 16 259 $192.59 โ€”
Potassium Chloride Potassium Chloride 15 179 $136.19 โ€”
Pregabalin Pregabalin 15 209 $305.43 โ€”
Cephalexin Cephalexin 13 46 $145.79 โ€”
Escitalopram Oxalate Escitalopram Oxalate 13 114 $63.41 โ€”
Levothyroxine Sodium Levothyroxine Sodium 13 229 $125.84 โ€”
Hydroxyzine Hcl Hydroxyzine Hcl 13 152 $182.06 โ€”
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 12 109 $182.82 โ€”
Bumetanide Bumetanide 12 122 $142.44 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1770617029 (MI)
Medicaid ID
2801187 (OH)
Other Identifier Paramount
06807 (OH)
Other Identifier Aetna
9666061 (OH)
Other Identifier Anthem
000000547496 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20071205000422

Enrollment State Jurisdiction

OH

PECOS Control ID

6103915632

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

State Of Ohio Office Of Budget And Management State Accounting

930 S Detroit Ave, Toledo, OH 436142701

Phone: 4193811881

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location June 02, 2021

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

๐Ÿ“
Updated Business Mailing Address June 02, 2021

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Pediatrics (license number reported to NPPES: OH 34-009077)

โœ…
NPI Profile Active February 26, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 26, 2014

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

๐Ÿ“
Business Mailing Address (Initial Record) February 26, 2014

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 26, 2014

Recorded as MARK WATKINS, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2014

Pediatrics (license number reported to NPPES: MI 5101016254)

๐ŸŸข
Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

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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

Other Pediatrics Specialists in Toledo

All Pediatrics Specialists in Toledo

Mailing Address

5701 Swan Creek Dr

Toledo, OH 436141104

Phone: 4194906448

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.