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KIM MARIE WATERHOUSE M.D.
NPI 1730384322
Pediatrics - Pediatric Allergy/Immunology in O Fallon, MO

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
94.57/100
CMS Quality Rating
1101 HIGHWAY K, O FALLON, MO 63366(636) 379-6363(636) 379-1297 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kim Marie Waterhouse M.d. NPPES

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

KIM MARIE WATERHOUSE M.D. (NPI 1730384322) is an individual pediatric allergy/immunology provider in O Fallon, Missouri, licensed in Missouri (2009005694) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1730384322
Entity TypeIndividualFemale
Primary Taxonomy2080P0201X
Provider Legal NameKIM MARIE WATERHOUSECredential: M.D.
Location Address1101 HIGHWAY KO Fallon, MO 63366-8431
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(636) 379-6363
Fax(636) 379-1297
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2006
Enumeration DateJune 15, 2007
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1730384322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in MO · 2009005694
Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 2009005694 (MO)
Also ListedPediatricsTaxonomy 208000000X · License 2009005694 (MO)
1101 HIGHWAY K, O Fallon, MO 63366
Open in Google Maps ↗

Secondary Practice Location 1

Location 11020 Hitt StColumbia, MO 65212-0001 · Phone (573) 882-6921 · Fax (573) 882-1154

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Kim Marie Waterhouse M.d. 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 ID4981875408
PECOS Enrollment IDI20110913000918
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.

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.15
Improvement Activities40

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.

ANGELA M PETER NP
Nurse Practitioner (Family)
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-4590
MRS. SARAH ANNE FILLA MPT
Physical Therapist
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6380
DR. JASON RUBEL PT
Physical Therapist
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6380
DR. DAVID WILLIAM THOMAS PT
Physical Therapist
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6380
DR. SCOTT G WILLIAMS M.D.
Obstetrics & Gynecology
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 978-2492
DR. CHRISTINE C CORTADILLO D.O.
Obstetrics & Gynecology
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6363
NICOLE GEBHARDT DPT
Physical Therapist
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6380
SSM MEDICAL GROUP INC.
Durable Medical Equipment & Medical Supplies
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6363

Frequently Asked Questions

What is Kim Waterhouse's NPI number?

The NPI number assigned to this healthcare provider is 1730384322, enumerated as an "individual" on June 15, 2007.

Where is the provider located?

The provider is located at 1101 HIGHWAY K O FALLON, MO 63366 and the phone number is (636) 379-6363.

What is the provider's specialty?

Pediatrics with taxonomy code 2080P0201X and a focus in Pediatric Allergy/Immunology.

What insurance does Kim Waterhouse accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Is Kim Waterhouse affiliated with any hospitals?

Kim Waterhouse is affiliated with: SSM HEALTH DEPAUL HOSPITAL ST LOUIS.