DR. HARRIS JOHN WATERS M.D.
NPI 1124015896
Specialist in Silverton, OR

Q: What is Harris Waters's NPI number?

The NPI number for Harris Waters is 1124015896. It was assigned to this individual provider in the NPPES registry on September 28, 2005.

Q: What is Harris Waters's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Harris Waters enrolled in Medicare?

No. Harris Waters has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Harris Waters was last updated on May 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2005Opted out of Medicare · through Jul 1, 2027

450 WELCH ST, SILVERTON, OR 97381(503) 873-5310(503) 873-5315 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Harris John Waters M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HARRIS JOHN WATERS M.D. (NPI 1124015896) is an individual specialist in Silverton, Oregon, licensed in Oregon (MD15831) and active in the NPI registry since September 2005. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124015896

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. HARRIS JOHN WATERSCredential: M.D.

Location Address450 WELCH STSilverton, OR 97381-1934

Mailing Address450 Welch StSilverton, OR 97381-1934 · (503) 873-5310 · Fax (503) 873-5315

Phone(503) 873-5310

Fax(503) 873-5315

Sole ProprietorNo

Enumeration DateSeptember 28, 2005

Last NPPES UpdateMay 26, 2010

✔ NPI 1124015896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MD15831

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

450 WELCH ST, Silverton, OR 97381

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Other Identifiers 4

Medicare ID-Type Unspecified109896OR

Medicaid082755OR

Medicare UPINC96681OR

Other109896OR · Medicare Ptin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Harris John Waters M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES P. NEALON, MD, PC

Surgery