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Jerry E Watson

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NPI Number Detailed Information

Provider Information:

Name: Jerry E Watson
Gender: M
Provider License Number If Given: 14980

NPI Information:

NPI: 1174519896
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/27/2005

Last Update Date: 2/10/2020

Reputation Report:

Provider Business Mailing Address:

Address: 920 DOUG WHITE DR STE 510
Myrtle Beach, SC 29572
Phone Number: 8434977772
Fax Number: 8438487530

Provider Business Practice Location Address:

Address: 920 DOUG WHITE DR STE 510
Myrtle Beach, SC 29572
Phone Number: 8434977772
Fax Number: 8438487530

Provider Taxonomy:

Primary: 207RI0011X
Secondary (if any):
State: SC

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About Jerry E Watson

Jerry E Watson ( JERRY E WATSON ) is An Internal Medicine Physician in Myrtle Beach, SC. The NPI Number for Jerry E Watson is 1174519896.
The current location address for Jerry E Watson is 920 DOUG WHITE DR STE 510 Myrtle Beach, SC 29572 and the contact number is 8434977772 and fax number is 8438487530. The mailing address for Jerry E Watson is 920 DOUG WHITE DR STE 510 Myrtle Beach, SC 29572- 8434977772 (mailing address contact number - 8434977772).
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jerry E Watson ?


Answer: The NPI Number for Jerry E Watson is 1174519896

Where is Jerry E Watson located?


Answer: Jerry E Watson is located at 920 DOUG WHITE DR STE 510 Myrtle Beach, SC 29572.

What is the specialty for Jerry E Watson ?


Answer: The Specialty of Jerry E Watson is An Internal Medicine Physician.

Are there any online reviews for Jerry E Watson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Myrtle Beach, SC?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jerry E Watson

Number of HCPCS 26
Number of Medicare Beneficiaries 1279
Number of Services 3963
Total Submitted Charge Amount 757076
Total Medicare Allowed Amount 385221.16
Total Medicare Payment Amount 279001.33
Total Medicare Standardized Payment Amount 289156.75
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 1
Number of Medicare Beneficiaries With Drug Services 42
Number of Drug Services 145
Total Drug Submitted Charge Amount 725
Total Drug Medicare Allowed Amount 89.57
Total Drug Medicare Payment Amount 66.44
Total Drug Medicare Standardized Payment Amount 65.12
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 25
Number of Medicare Beneficiaries With Medical 1279
Number of Medical Services 3818
Total Medical Submitted Charge Amount 756351
Total Medical Medicare Allowed Amount 385131.59
Total Medical Medicare Payment Amount 278934.89
Total Medical Medicare Standardized Payment Amount 289091.63
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 48
Number of Beneficiaries Age 65 to 74 561
Number of Beneficiaries Age 75 to 84 511
Number of Beneficiaries Age Greater 84 159
Number of Female Beneficiaries 515
Number of Male Beneficiaries 764
Number of Non-Hispanic White Beneficiaries 1176
Number of Black or African American Beneficiaries 55
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 36
Number of Beneficiaries With Medicare & Medicaid Entitlement 51
Number of Beneficiaries With Medicare Only Entitlement 1228
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.31
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.14
Percent (%) of Beneficiaries Identified With Heart Failure 0.43
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.4
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.21
Percent (%) of Beneficiaries Identified With Depression 0.17
Percent (%) of Beneficiaries Identified With Diabetes 0.36
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.7
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.47
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.08
Average HCC Risk Score of Beneficiaries 1.3665

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Cardiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 4874
Number of Standardized 30-Day Fills 12893.333333
Aggregate Cost Paid for All Claims 837449.5
Number of Day's Supply for All Claims 384427
Number of Medicare Beneficiaries 655
Number of Claims, Including Refills, for Beneficiaries Age 65+ 4477
Including Refills, for Beneficiaries Age 65+ 11879.033333
Beneficiaries Age 65+ 780362.57
Number of Day's Supply for All Claims for Beneficaries Age 65+ 354220
Number of Medicare Beneficiaries Age 65+ 603
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 956
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 3918
Aggregate Cost Paid for Generic Drugs 94439.11
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1720
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 299095.76
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3154
Aggregate Cost Paid for Claims Filled by 538353.74
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 526
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 91765.51
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 4348
by Low-Income Subsidy 745683.99
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 74.329770992
Number of Beneficiaries Age Less Than 65 52
Number of Beneficiaries Age 65 to 74 291
Number of Beneficiaries Age 75 to 84 242
Number of Female Beneficiaries 255
Number of Male Beneficiaries 400
Number of Non-Hispanic White 605
Number of Black or African American 21
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 11
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 17
Only Entitlement 610
Average Hierarchical Condition Category 1.3431211524

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