MR. GARY DAVID WALDMAN MD
NPI 1487615795
Dermatology in Charlotte, NC

Active since March 29, 2006PECOS Enrolled
10512 PARK RD, SUITE 113, CHARLOTTE, NC 28210(704) 542-8018(704) 542-7147 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Gary David Waldman Md NPPES

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

MR. GARY DAVID WALDMAN MD (NPI 1487615795) is an individual dermatology provider in Charlotte, North Carolina, licensed in North Carolina (26610) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487615795
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. GARY DAVID WALDMANCredential: MD
Location Address10512 PARK RD, SUITE 113Charlotte, NC 28210-8469
Mailing Address10512 Park Rd, Suite 113Charlotte, NC 28210-8469 · (704) 542-8018 · Fax (704) 542-7147
Fax(704) 542-7147
Sole ProprietorYes
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 3, 2012
NPI 1487615795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 26610
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10512 PARK RD, Charlotte, NC 28210

Other Identifiers 5

Other85246NC · Blue Cross Blue Shield
Medicaid7985246NC
Medicare UPINC81468
Other070009176NC · Railroad Medicare
Medicare ID-Type Unspecified202762A

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Gary David Waldman 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 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 17

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

Urology
10512 PARK RD, SUITE 113
CHARLOTTE, NC 28210
Ophthalmology
10512 PARK RD, SUITE 200
CHARLOTTE, NC 28210
Physician Assistant
10512 PARK RD, SUITE 113
CHARLOTTE, NC 28210
Physical Therapist (Orthopedic)
10512 PARK RD, SUITE 209
CHARLOTTE, NC 28210
Nurse Practitioner
10512 PARK RD, STE 101
CHARLOTTE, NC 28210
Physical Therapist
10512 PARK RD
CHARLOTTE, NC 28210
Nurse Practitioner
10512 PARK RD, SUITE # 113
CHARLOTTE, NC 28210
Otolaryngology
10512 PARK RD, SUITE 200
CHARLOTTE, NC 28210

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 Gary Waldman's NPI number?

The NPI number for Gary Waldman is 1487615795. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Gary Waldman located?

Gary Waldman practices at 10512 Park Rd Suite 113, Charlotte, NC 28210. The listed phone number is (704) 542-8018.

What is Gary Waldman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Gary Waldman enrolled in Medicare?

Yes. Gary Waldman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Waldman was last updated on April 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.