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

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: October 18, 2026.

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 Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Lynn Waters reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Group Services PA
10 mi
Family Medicine
1689 EAGLE HARBOR PKWY STE A
Fleming Island, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 136 clinicians in this Medicare group
NPI 1699138362 (904) 269-1366
University Of Florida Jacksonville Physicians, Inc.
15 mi
Family Medicine
5460 BLANDING BLVD STE 3, UFJP ANCHOR PLAZA
Jacksonville, FL 32244
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1487814752 (Florida)
  • 573 clinicians in this Medicare group
NPI 1235398983 (904) 633-0610
St Vincents Ambulatory Care Inc
22 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769
Solantic Of Jacksonville, LLC
27 mi
Urgent Care
151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group
NPI 1407893100 (904) 543-3677
Philadelphia College Of Osteopathic Medicine
782 mi
Family Medicine
4190 CITY AVE
Philadelphia, PA 19131
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1881635704 (215) 871-6562

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
DR. KENT THOMAS BRAEUTIGAM D.O.
General Practice
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
MS. BREANNA NICOLE JAMES DNP APRN FNP-BC
Nurse Practitioner (Pediatrics, Critical Care)
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
ACKERMAN CANCER CENTER, PA
Urology
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 490-7400
MS. VICTORIA ANN JACOBS APRN
Nurse Practitioner (Family)
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
MR. DAVID ANTHONY POZO DO
Internal Medicine
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
DR. BENJAMIN WO-SHUN GOH DO
Family Medicine
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
BETTY MICHELLE PATE ARNP
Nurse Practitioner (Pediatrics)
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 861-1034

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 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.

Where is Lynn Waters located?

Lynn Waters practices at 3839 County Road 218, Middleburg, FL 32068. The listed phone number is (904) 282-5474.

What is Lynn Waters's specialty?

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

Is Lynn Waters enrolled in Medicare?

Yes. Lynn Waters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lynn Waters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Waters reassigns Medicare benefits to 5 organizations: Physicians Group Services PA (Fleming Island, FL), University Of Florida Jacksonville Physicians, Inc. (Jacksonville, FL), St Vincents Ambulatory Care Inc (Jacksonville, FL), Solantic Of Jacksonville, LLC (Ponte Vedra, FL) and Philadelphia College Of Osteopathic Medicine (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lynn Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynn Waters accept?

Health plans from Molina Healthcare list Lynn 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 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.