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KEITH H WATERS MD
NPI 1205863107
Family Medicine in Simpsonville, SC

Active since June 27, 2006PECOS Enrolled
103 FAIRVIEW POINTE DRIVE, SIMPSONVILLE, SC 29681(864) 967-4982(864) 967-8465 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith H Waters Md NPPES

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

KEITH H WATERS MD (NPI 1205863107) is an individual family medicine provider in Simpsonville, South Carolina, licensed in South Carolina (9105) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205863107
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEITH H WATERSCredential: MD
Location Address103 FAIRVIEW POINTE DRIVESimpsonville, SC 29681
Mailing AddressPo Box 887Simpsonville, SC 29681 · (864) 967-4982 · Fax (864) 967-8465
Phone(864) 967-4982
Fax(864) 967-8465
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205863107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 9105
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
103 FAIRVIEW POINTE DRIVE, Simpsonville, SC 29681
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Other Identifiers 3

MedicaidGP0435SC
Medicare UPINB91925
Medicare ID-Type Unspecified6557

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith H Waters 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 29681 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Keith Waters's NPI number?

The NPI number for Keith Waters is 1205863107. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Keith Waters located?

Keith Waters practices at 103 Fairview Pointe Drive, Simpsonville, SC 29681. The listed phone number is (864) 967-4982.

What is Keith Waters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Waters enrolled in Medicare?

Yes. Keith Waters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith 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.