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STANLEY J WATERS M.D., PH.D.
NPI 1821046335
Orthopaedic Surgery in Boise, ID

Active since May 05, 2006PECOS Enrolled
1673 SHORELINE DR, STE 100, BOISE, ID 83702(208) 322-0485(208) 378-8228 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stanley J Waters M.d., Ph.d. NPPES

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

STANLEY J WATERS M.D., PH.D. (NPI 1821046335) is an individual orthopaedic surgery provider in Boise, Idaho, licensed in Idaho (M6247) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821046335
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSTANLEY J WATERSCredential: M.D., PH.D.
Location Address1673 SHORELINE DR, STE 100Boise, ID 83702-6736
Mailing Address1673 Shoreline Dr, Ste 100Boise, ID 83702-6736 · (208) 322-0485 · Fax (208) 378-8228
Phone(208) 322-0485
Fax(208) 378-8228
Sole ProprietorYes
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 5, 2015
✔ NPI 1821046335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in ID · M6247
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1673 SHORELINE DR, Boise, ID 83702
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Other Identifiers 5

Medicare UPINF58733ID
Other71928ID · Blue Cross Provider #
Medicare ID-Type Unspecified1127922ID · Provider #
Other000010004618ID · Blue Shield Provider #
Medicaid000039400ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanley J Waters M.d., Ph.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT G CRAWFORD CST, CFA
Specialist
1673 SHORELINE DR, STE 100
BOISE, ID 83702
Ada County (208) 322-0485
LISA KERN MD
Family Medicine
1673 SHORELINE DR, #120
BOISE, ID 83702
Ada County (208) 429-8311
THE PAIN CENTER
Clinic/Center (Pain)
1673 SHORELINE DR, STE 140
BOISE, ID 83702
Ada County (208) 432-9800
STANLEY J. WATERS MD
Orthopaedic Surgery
1673 SHORELINE DR, STE 100
BOISE, ID 83702
Ada County (208) 322-0485

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 Stanley Waters's NPI number?

The NPI number for Stanley Waters is 1821046335. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Stanley Waters located?

Stanley Waters practices at 1673 Shoreline Dr Ste 100, Boise, ID 83702. The listed phone number is (208) 322-0485.

What is Stanley Waters's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stanley Waters enrolled in Medicare?

Yes. Stanley Waters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stanley Waters was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.