Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID ALLEN WATERMAN MD
NPI 1710689484
Family Medicine in Boise, ID

Q: What is David Waterman's NPI number?

The NPI number for David Waterman is 1710689484. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is David Waterman'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 David Waterman was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 March 20, 2023PECOS Enrolled

1055 N CURTIS RD, BOISE, ID 83706(208) 367-7350(208) 463-5000 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Jun 12, 2025, Jun 19, 2023 and 1 more (4 updates tracked since 2023).

On this page

About David Allen Waterman Md NPPES

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

DAVID ALLEN WATERMAN MD (NPI 1710689484) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (4581204) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710689484

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID ALLEN WATERMANCredential: MD

Location Address1055 N CURTIS RDBoise, ID 83706-1309

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 367-7350

Fax(208) 463-5000

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1710689484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · 4581204✔ Licensed in UT · 14151351-1205

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.

Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License 4581204 (ID)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1055 N CURTIS RD, Boise, ID 83706

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1395 W Cougar Blvd Ste 205Provo, UT 84604-3328 · Phone (801) 357-1770

Location 2475 W 940 NProvo, UT 84604-3301 · Phone (801) 357-7686

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Allen Waterman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648783878

PECOS Enrollment IDI20250701002847

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.

Hospital Affiliations CMS Care Compare

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

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.

DR. MAUREEN A NEWMAN M.D.

Family Medicine (Hospice and Palliative Medicine)