Robert Scott Waters, M.D.
Individual provider Active NPI General Practice Physician · Wisconsin Dells, WI
NPI 1194948133 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194948133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 27520 (WI)
- Practice address
- 320 Race St
Wisconsin Dells, WI 53965-1822 - Phone
- (608) 254-7178
- Fax
- (608) 253-7139
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 94.84
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 26, 2015 through Jan 26, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27520 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waters Preventive Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 27520 | WI | Yes |
Addresses
Primary practice location
320 Race St
Wisconsin Dells, WI 53965-1822
Mailing address
PO Box 357
Wisconsin Dells, WI 53965-0357
Phone (608) 254-7178
Other providers in Wisconsin Dells, WI
- Wal-Mart Stores East, LP
- Walgreen Co
- Jacquelyn Marie Walker
- Thomas Robert Warwick
- Waters Preventive Medical Center
- Paula Marie Weiss
- Richard K Westphal
All providers in Wisconsin Dells, WI · General Practice Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.