DR. THERESA A WATERS D. O.
NPI 1629393202
Internal Medicine - Cardiovascular Disease in Fayetteville, NY

Q: What is Theresa Waters's NPI number?

The NPI number for Theresa Waters is 1629393202. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Q: What is Theresa Waters's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Waters was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 07, 2010PECOS EnrolledAccepts Medicare Assignment

510 TOWNE DR, FAYETTEVILLE, NY 13066(315) 663-0500(315) 663-0514 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2019, Jan 4, 2017, Nov 23, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Theresa A Waters D. O. NPPES

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

DR. THERESA A WATERS D. O. (NPI 1629393202) is an individual cardiovascular disease provider in Fayetteville, New York, licensed in New York (285798) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2010).

NPPES Registry Identity

NPI1629393202

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameDR. THERESA A WATERSCredential: D. O.

Location Address510 TOWNE DRFayetteville, NY 13066-1331

Mailing Address510 Towne DrFayetteville, NY 13066-1331 · (315) 663-0500 · Fax (315) 663-0514

Phone(315) 663-0500

Fax(315) 663-0514

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2010

Enumeration DateApril 7, 2010

Last NPPES UpdateSeptember 27, 20194 updates tracked since enumeration

✔ NPI 1629393202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 285798

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 285798 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 61027 (NY)

510 TOWNE DR, Fayetteville, NY 13066

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Other Identifiers 1

Medicaid04561226NY

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

Dr. Theresa A Waters 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 ID2860770534

PECOS Enrollment IDI20161101000009

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

189 services150 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

155 services136 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

81 services81 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

53 services52 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

35 services33 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

22 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

16 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

MARY OOT FNP

Nurse Practitioner (Family)

510 TOWNE DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0500

JAYME K SCHRECK NP

Nurse Practitioner (Acute Care)

510 TOWNE DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0500

KATHLEEN JUDITH HERGERT FNP

Nurse Practitioner (Family)

510 TOWNE DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 627-0448

JANET LYNNE MURPHY PT

Physical Therapist (Hand)

510 TOWNE DR, SUITE 100
FAYETTEVILLE, NY 13066

Onondaga County (315) 637-4747

KELLY M ZAWACKI PT

Physical Therapist

510 TOWNE DR, STE 100
FAYETTEVILLE, NY 13066

Onondaga County (315) 637-4747

SHERYL L KHAN RPA

Physician Assistant (Medical)

510 TOWNE DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0500

MRS. JULIE M WALLACE PT

Physical Therapist

510 TOWNE DR, SUITE 100
FAYETTEVILLE, NY 13066

Onondaga County (315) 637-4747

MR. KEITH PAUL WALDRON P.T.

Physical Therapist

510 TOWNE DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 637-4747

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 Theresa Waters's NPI number?

The NPI number for Theresa Waters is 1629393202. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Theresa Waters located?

Theresa Waters practices at 510 Towne Dr, Fayetteville, NY 13066. The listed phone number is (315) 663-0500.

What is Theresa Waters's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Theresa Waters enrolled in Medicare?

Yes. Theresa 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.

Is Theresa Waters affiliated with any hospitals?

According to CMS data, Theresa Waters is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Theresa Waters was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.