LYNN MICHAEL WATERS JR. D.O.
NPI 1487840633
Family Medicine in Middleburg, FL

Q: What is Lynn Waters's NPI number?

The NPI number for Lynn Waters is 1487840633. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Q: What is Lynn Waters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lynn Waters was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 21, 2007PECOS EnrolledAccepts Medicare Assignment

3839 COUNTY ROAD 218, MIDDLEBURG, FL 32068(904) 282-5474(904) 282-5824 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lynn Michael Waters Jr. D.o. NPPES

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

LYNN MICHAEL WATERS JR. D.O. (NPI 1487840633) is an individual family medicine provider in Middleburg, Florida, licensed in Florida (OS10513) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1487840633

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLYNN MICHAEL WATERS JR.Credential: D.O.

Location Address3839 COUNTY ROAD 218Middleburg, FL 32068-5708

Mailing Address705 Wells Rd Ste 300Orange Park, FL 32073-2982 · (904) 282-6331 · Fax (904) 619-1080

Phone(904) 282-5474

Fax(904) 282-5824

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 21, 2007

Last NPPES UpdateJanuary 18, 2022

NPPES CertifiedJanuary 18, 2022

✔ NPI 1487840633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS10513

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.

3839 COUNTY ROAD 218, Middleburg, FL 32068

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Other Identifiers 3

Medicaid002290100FL

Other1488LFL · Bcbs

Medicaid003126257AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lynn Michael Waters Jr. D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395871958

PECOS Enrollment IDI20221012003044

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 32068 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 4

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

5 suppliers13 claims33 services$4.56 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers20 claims20 services$16.23 avg. paid by Medicare

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier12 claims12 services$60.87 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$86.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

PHYSICIANS GROUP SERVICES PA

Family Medicine