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

Active since April 10, 2007Opted out of Medicare · through Jan 26, 2027
320 RACE ST, WISCONSIN DELLS, WI 53965(608) 254-7178(608) 253-7139 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Robert Scott Waters M.d. NPPES

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

DR. ROBERT SCOTT WATERS M.D. (NPI 1194948133) is an individual general practice provider in Wisconsin Dells, Wisconsin, licensed in Wisconsin (27520) and active in the NPI registry since April 2007. He has opted out of Medicare through January 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194948133
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ROBERT SCOTT WATERSCredential: M.D.
Location Address320 RACE STWisconsin Dells, WI 53965-1822
Mailing AddressPo Box 357Wisconsin Dells, WI 53965-0357 · (608) 254-7178 · Fax (608) 253-7139
Fax(608) 253-7139
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1194948133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in WI · 27520
Definition
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
320 RACE ST, Wisconsin Dells, WI 53965

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. Robert Scott 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 January 26, 2015 through January 26, 2027.

Opt-Out Effective DateJanuary 26, 2015
Opt-Out In Effect ThroughJanuary 26, 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

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

Clinic/Center
320 RACE ST
WISCONSIN DELLS, WI 53965

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 Robert Waters's NPI number?

The NPI number for Robert Waters is 1194948133. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Robert Waters located?

Robert Waters practices at 320 Race St, Wisconsin Dells, WI 53965. The listed phone number is (608) 254-7178.

What is Robert Waters's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Robert Waters enrolled in Medicare?

No. Robert Waters has opted out of Medicare through January 26, 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.

When was this NPI record last updated?

The NPPES record for Robert Waters was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.