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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOHN W WATERFALLEN MD
NPI 1164417309
Obstetrics & Gynecology in Shreveport, LA

Active since September 14, 2005PECOS Enrolled
7941 YOUREE DR, SHREVEPORT, LA 71105(318) 797-7941(318) 797-7991 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John W Waterfallen Md NPPES

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

JOHN W WATERFALLEN MD (NPI 1164417309) is an individual obstetrics & gynecology provider in Shreveport, Louisiana, licensed in Louisiana (014123) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164417309
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN W WATERFALLENCredential: MD
Location Address7941 YOUREE DRShreveport, LA 71105-5538
Mailing Address7941 Youree DrShreveport, LA 71105-5538 · (318) 797-7941 · Fax (318) 797-7991
Phone(318) 797-7941
Fax(318) 797-7991
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1164417309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · 014123
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7941 YOUREE DR, Shreveport, LA 71105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John W Waterfallen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

OB GYN ASSOCIATES OF SHREVEPORT
Obstetrics & Gynecology
7941 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 797-7941
ERIN KATHERINE CASSIERE M.D.
Obstetrics & Gynecology
7941 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 797-7941
KRISTEN M MCELVEEN MSN,APRN,WHNP-BC
Nurse Practitioner (Women's Health)
7941 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 797-7941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Waterfallen's NPI number?

The NPI number for John Waterfallen is 1164417309. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is John Waterfallen located?

John Waterfallen practices at 7941 Youree Dr, Shreveport, LA 71105. The listed phone number is (318) 797-7941.

What is John Waterfallen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Waterfallen enrolled in Medicare?

Yes. John Waterfallen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Waterfallen was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.