DR. GLENN STEWART WATERS D.D.S.,M.D.
NPI 1245293604
Dentist - Oral and Maxillofacial Surgery in Cincinnati, OH

Active since April 07, 2006Opted out of Medicare · through Jul 1, 2027
10506 MONTGOMERY RD, SUITE 203, CINCINNATI, OH 45242(513) 791-0550(513) 791-1517 Get Directions Write a Review

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

About Dr. Glenn Stewart Waters D.d.s.,m.d. NPPES

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

DR. GLENN STEWART WATERS D.D.S.,M.D. (NPI 1245293604) is an individual oral and maxillofacial surgery provider in Cincinnati, Ohio, licensed in Ohio (30022099) and active in the NPI registry since April 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245293604
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GLENN STEWART WATERSCredential: D.D.S.,M.D.
Location Address10506 MONTGOMERY RD, SUITE 203Cincinnati, OH 45242-4487
Mailing Address10506 Montgomery Rd, Suite 203Cincinnati, OH 45242-4487 · (513) 791-0550 · Fax (513) 791-1517
Fax(513) 791-1517
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1245293604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in OH · 30022099
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
10506 MONTGOMERY RD, Cincinnati, OH 45242

Other Names 1

Professional Name (2)Dr. Glenn Stewart Waters D.d.s.,m.d.

Other Identifiers 2

Medicare UPINVO5839OH
Medicare ID-Type UnspecifiedWA4164571OH

Accepted Insurance

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. Glenn Stewart Waters D.d.s.,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 July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Physician Assistant
10506 MONTGOMERY RD
MONTGOMERY, OH 45242
Surgery
10506 MONTGOMERY RD
CINCINNATI, OH 45242
Specialist
10506 MONTGOMERY RD, SUITE G102
CINCINNATI, OH 45242
Emergency Medicine
10506 MONTGOMERY RD, SUITE 209
CINCINNATI, OH 45242
Dentist (Oral and Maxillofacial Surgery)
10506 MONTGOMERY RD, SUITE 203
CINCINNATI, OH 45242
Physician Assistant
10506 MONTGOMERY RD
MONTGOMERY, OH 45242
Nurse Practitioner
10506 MONTGOMERY RD
MONTGOMERY, OH 45242
Emergency Medicine
10506 MONTGOMERY RD, SUITE 209
CINCINNATI, OH 45242

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 Glenn Waters's NPI number?

The NPI number for Glenn Waters is 1245293604. It was assigned to this individual provider in the NPPES registry on April 7, 2006. The provider is also known as Dr. Glenn Stewart Waters D.D.S.,m.D..

Where is Glenn Waters located?

Glenn Waters practices at 10506 Montgomery Rd Suite 203, Cincinnati, OH 45242. The listed phone number is (513) 791-0550.

What is Glenn Waters's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Glenn Waters enrolled in Medicare?

No. Glenn Waters has opted out of Medicare through July 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.

What insurance does Glenn Waters accept?

Health plans from Delta Dental of Ohio, Humana and MedMutual list Glenn Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn 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.