MR. DAVID CHARLES WATERSON JR. PA-C
NPI 1821666876
Physician Assistant in Grand Rapids, MI

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
2902 BRADFORD ST NE, GRAND RAPIDS, MI 49525(616) 885-5200 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2022, Jun 16, 2021 (2 updates tracked since 2021).

About Mr. David Charles Waterson Jr. Pa-c NPPES

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

MR. DAVID CHARLES WATERSON JR. PA-C (NPI 1821666876) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601010609) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821666876
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID CHARLES WATERSON JR.Credential: PA-C
Location Address2902 BRADFORD ST NEGrand Rapids, MI 49525-6427
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 16, 2021
Last NPPES UpdateSeptember 29, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1821666876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601010609
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2902 BRADFORD ST NE, Grand Rapids, MI 49525

Accepted 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

Mr. David Charles Waterson Jr. Pa-c 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 ID3375945801
PECOS Enrollment IDI20210707000943
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 2

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.
39 services30 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.
30 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 17

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

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525
Nurse Practitioner (Family)
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525
Internal Medicine (Cardiovascular Disease)
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525
Nurse Practitioner
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525
Internal Medicine (Cardiovascular Disease)
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525
General Acute Care Hospital
2902 BRADFORD ST NE
GRAND RAPIDS, MI 49525

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 David Waterson's NPI number?

The NPI number for David Waterson is 1821666876. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is David Waterson located?

David Waterson practices at 2902 Bradford St NE, Grand Rapids, MI 49525. The listed phone number is (616) 885-5200.

What is David Waterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Waterson enrolled in Medicare?

Yes. David Waterson 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.

What insurance does David Waterson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list David Waterson 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.

Is David Waterson affiliated with any hospitals?

According to CMS data, David Waterson is affiliated with Bronson Methodist Hospital, Spectrum Health, Trinity Health Muskegon Hospital, Bronson Lakeview Hospital and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for David Waterson was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.