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JUDE T WATERBURY MD
NPI 1487626594
Internal Medicine in Elk Grove, CA

Active since February 02, 2006PECOS Enrolled
2382 MARITIME DR STE 100, ELK GROVE, CA 95758(916) 691-6622(916) 691-6629 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jude T Waterbury Md NPPES

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

JUDE T WATERBURY MD (NPI 1487626594) is an individual internal medicine provider in Elk Grove, California, licensed in California (A90991) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1487626594
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUDE T WATERBURYCredential: MD
Location Address2382 MARITIME DR STE 100Elk Grove, CA 95758-3659
Mailing Address2382 Maritime Dr Ste 100Elk Grove, CA 95758-3659 · (916) 691-6622 · Fax (916) 691-6629
Phone(916) 691-6622
Fax(916) 691-6629
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 2, 2006
Last NPPES UpdateMay 3, 2013
✔ NPI 1487626594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A90991
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2382 MARITIME DR STE 100, Elk Grove, CA 95758
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Other Identifiers 1

Medicare UPINI26696CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jude T Waterbury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062468366
PECOS Enrollment IDI20051103001052
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 95758 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims49 services$5.07 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers23 claims23 services$21.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jude Waterbury's NPI number?

The NPI number for Jude Waterbury is 1487626594. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Jude Waterbury located?

Jude Waterbury practices at 2382 Maritime Dr Ste 100, Elk Grove, CA 95758. The listed phone number is (916) 691-6622.

What is Jude Waterbury's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jude Waterbury enrolled in Medicare?

Yes. Jude Waterbury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jude Waterbury was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.