DR. ROBERT SCOTT WATERS M.D.
NPI 1194948133
General Practice in Wisconsin Dells, WI

NPI Status: Active since April 10, 2007

Contact Information

320 RACE ST
WISCONSIN DELLS, WI
ZIP 53965
Phone: (608) 254-7178
Fax: (608) 253-7139

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  • Individual
  • Male
  • General Practice
  • PECOS Enrolled
  • Opted-Out Medicare

About ROBERT WATERS

This page provides the complete NPI Profile along with additional information for Robert Waters, a primary care provider established in Wisconsin Dells, Wisconsin with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1194948133 assigned on April 2007. The practitioner's primary taxonomy code is 208D00000X with license number 27520 (WI). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1194948133
Provider Name
DR. ROBERT SCOTT WATERS M.D.
Gender
Male
Entity Type
Individual
Location Address
320 RACE ST WISCONSIN DELLS, WI 53965
Location Phone
(608) 254-7178
Location Fax
(608) 253-7139
Mailing Address
PO BOX 357 WISCONSIN DELLS, WI 53965
Mailing Phone
(608) 254-7178
Mailing Fax
(608) 253-7139
Is Sole Proprietor?
Yes
Enumeration Date
04-10-2007
Last Update Date
07-08-2007
Code Navigator

A primary care provider (PCP) like Robert Waters sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Robert Waters opted out of Medicare effective on 01-26-2015 until 01-26-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
27520
License State
WI
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS Enrollment Status

Robert Waters is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-26-2015

  • Opt-Out End Date: 01-26-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194948133, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 8 + 4 + 1 + 6 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1194948133.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center
320 RACE ST
WISCONSIN DELLS, WI 53965

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194948133, enumerated as an "individual" on April 10, 2007.

The provider is located at 320 RACE ST WISCONSIN DELLS, WI 53965 and the phone number is (608) 254-7178.

General Practice with taxonomy code 208D00000X.