MICHAEL D WADDINGTON DO
NPI 1205043486
Neuromusculoskeletal Medicine & OMM in Glastonbury, CT

Q: What is Michael Waddington's NPI number?

The NPI number for Michael Waddington is 1205043486. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Michael Waddington's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: Is Michael Waddington enrolled in Medicare?

No. Michael Waddington has opted out of Medicare through January 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.

Active since May 17, 2007Opted out of Medicare · through Jan 1, 2027

78 EASTERN BLVD STE 6, GLASTONBURY, CT 06033(860) 993-3516(860) 430-6885 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2025, Aug 5, 2024, Feb 6, 2020 (3 updates tracked since 2020).

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About Michael D Waddington Do NPPES

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

MICHAEL D WADDINGTON DO (NPI 1205043486) is an individual neuromusculoskeletal medicine & omm provider in Glastonbury, Connecticut, licensed in Connecticut (53391) and active in the NPI registry since May 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205043486

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameMICHAEL D WADDINGTONCredential: DO

Location Address78 EASTERN BLVD STE 6Glastonbury, CT 06033-4325

Mailing Address78 Eastern Blvd Ste 6Glastonbury, CT 06033-4325 · (860) 993-3516 · Fax (860) 430-6885

Phone(860) 993-3516

Fax(860) 430-6885

Sole ProprietorNo

Enumeration DateMay 17, 2007

Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1205043486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

Licenses✔ Licensed in CT · 53391✔ Licensed in MI · 5101016862

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

78 EASTERN BLVD STE 6, Glastonbury, CT 06033

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael D Waddington Do 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 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025

Opt-Out In Effect ThroughJanuary 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

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

OSTEOPATHIC CENTER OF GLASTONBURY PLLC

Neuromusculoskeletal Medicine & OMM

78 EASTERN BLVD STE 6
GLASTONBURY, CT 06033

Capitol Planning Region (860) 729-4682

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 Michael Waddington's NPI number?

The NPI number for Michael Waddington is 1205043486. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Michael Waddington located?

Michael Waddington practices at 78 Eastern Blvd Ste 6, Glastonbury, CT 06033. The listed phone number is (860) 993-3516.

What is Michael Waddington's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Michael Waddington enrolled in Medicare?

No. Michael Waddington has opted out of Medicare through January 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.

When was this NPI record last updated?

The NPPES record for Michael Waddington was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.