Douglas Alan Waldman, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Bastrop, TX
NPI 1902801871 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1902801871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 036154971 (IL)
- Practice address
- 117 Rosemary CT
Bastrop, TX 78602-2239 - Phone
- (903) 926-4861
- Fax
- (888) 926-1513
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 41
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HRMC, LLC
Pinnacle Health Medical Services
Mymichigan Medical Group
West Park Hospital District
Practice addresses (Care Compare)
1851 Mesquite Ave
Suite 112
Lake Havasu City, AZ 86403-5680
Phone (928) 453-0108
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711
401 Long Rapids PLZ
Alpena, MI 49707-1394
Phone (989) 356-9333
424 Yellowstone Ave
Cody, WY 82414-9309
Phone (307) 527-7501
Hospital & facility affiliations
- Havasu Regional Medical Center
- Mymichigan Medical Center Alpena
- Whidbeyhealth Medical Center
- Upmc Hanover
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.61 of 100
- Quality
- 75.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (9 enrollments) in IL, MN, WA, AR, IN, AZ, MI, PA, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210624000711 | IL | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 1 organization |
| I20230823000778 | MN | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 1 organization |
| I20241126002683 | WA | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 1 organization |
| I20250710002571 | AR | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 1 organization |
| I20250712000184 | IN | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 1 organization |
| I20251231003237 | AZ | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 1 organization |
| I20260206000959 | MI | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 2 organizations |
| I20260429000271 | PA | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 1 organization |
| I20260501002221 | WY | Practitioner - Orthopedic Surgery | 3173546603 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301506512 | MI | MD | Orthopaedic Surgery Physician |
| E-6674 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Harrison County Hospital | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| HRMC, LLC | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Harrison County Hospital | Current |
Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Mymichigan Medical Center Sault | Current |
Accepting new patients | |
| HRMC, LLC | Family Medicine | Current |
Accepting new patients |
| Mymichigan Medical Center Sault | Family Medicine | Current |
Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current |
Accepting new patients | |
| Allina Health System | Orthopaedic Surgery | Current | Accepting new patients |
| Harrison County Hospital | Orthopaedic Surgery | Past | Accepting new patients |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Mid State Orthopaedic & Sports Medicine Center, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Mid State Orthopaedic & Sports Medicine Center LLC | Orthopaedic Surgery | Past | Accepting new patients |
| HRMC, LLC | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
1851 Mesquite Ave
Ste 210
Lk Havasu Cty, AZ 86403
Phone (928) 854-7540
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1851 Mesquite Ave
Ste 112
Lk Havasu Cty, AZ 86403
Phone (928) 453-0111
215 E 1st St
Ste 326
Dixon, IL 61021
Phone (815) 285-5800
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
1263 Hospital Dr NW
Ste 105
Corydon, IN 47112
Phone (812) 734-3800
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
509 Osborn Blvd
Ste 400
Sault Sainte Marie, MI 49783
Phone (906) 632-4740
509 Osborn Blvd
Sault Sainte Marie, MI 49783
Phone (906) 253-2605
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
316 S K St
Tacoma, WA 98405
Phone (253) 403-1375
3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
Interoperability endpoints
- dwaldman812001@direct.multicare.org
- douglas.waldman.1@19231.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E-6674 | TX | |
| Orthopaedic Surgery Physician | 207X00000X | 4301506512 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | 036154971 | IL | Yes |
Addresses
Primary practice location
117 Rosemary CT
Bastrop, TX 78602-2239
Mailing address
117 Rosemary CT
Bastrop, TX 78602-2239
Phone (903) 926-4861
Other practice location 1
509 Osborn Blvd
Sault Sainte Marie, MI 49783-2069
Phone (906) 632-4740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902801871 | Medicaid | MI | |
| 1597776-01 | Medicaid | TX |
Other providers in Bastrop, TX
- Baris Vefali
- Tiffany Rose Vigil
- Laurier A Vocal
- Wal-Mart Stores Texas LLC
- Wal-Mart Stores Texas, LP
- Walgreen Co
- Walgreen Co
- Desmar Walkes
- Claire Yen Shin Wang
- Ashley Nicole Warren
All providers in Bastrop, TX · Orthopaedic Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. 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).
- 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.