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

Active since June 15, 2007PECOS Enrolled
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: October 18, 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 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
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 Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Marie Waterhouse M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Kim Waterhouse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy, Asthma & Sinus Care Center, LLC
37 mi
Allergy
9701 LANDMARK PARKWAY DR STE 207
Saint Louis, MO 63127
  • Reassigned Medicare billing, Missouri enrollment
  • 12 clinicians in this Medicare group
NPI 1417034695 (314) 849-8700
The Curators Of The University Of Missouri
75 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141

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

Areas of Expertise CMS Part B claims 4

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
792 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services11 patients
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.
16 services15 patients

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.

RILEY B BUSCH PA-C
Physician Assistant
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6363
DR. CHANDRA K WIEWEL M.D.
Family Medicine
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-4590
DR. BRIANNA NICOLE NORMAN DPT
Physical Therapist
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6380
ELIZABETH VOLLMAR FNP-C
Nurse Practitioner
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6363
JAMIE L. PUCKETT M.D.
Obstetrics & Gynecology
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6363
DR. LEONARD M HOFFMANN M.D.
Family Medicine
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-4590
ANGELA M PETER NP
Nurse Practitioner (Family)
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-4590
MATTHEW DAVID SCHNEIDER DO
Family Medicine
1101 HIGHWAY K
O FALLON, MO 63366
St. Charles County (636) 379-6363

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 Kim Waterhouse's NPI number?

The NPI number for Kim Waterhouse is 1730384322. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Kim Waterhouse located?

Kim Waterhouse practices at 1101 Highway K, O Fallon, MO 63366. The listed phone number is (636) 379-6363.

What is Kim Waterhouse's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Kim Waterhouse enrolled in Medicare?

Yes. Kim Waterhouse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kim Waterhouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Waterhouse reassigns Medicare benefits to 2 organizations: Allergy, Asthma & Sinus Care Center, LLC (Saint Louis, MO) and The Curators Of The University Of Missouri (Columbia, MO). 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 Kim Waterhouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Waterhouse accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Kim Waterhouse 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 Kim Waterhouse was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.