THOMAS S WATERS D.O.
NPI 1831537810
Family Medicine in Sioux City, IA

Q: What is Thomas Waters's NPI number?

The NPI number for Thomas Waters is 1831537810. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Q: What is Thomas Waters'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 Thomas Waters was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

2501 PIERCE ST, SIOUX CITY, IA 51104(712) 294-5000(712) 294-5091 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas S Waters D.o. NPPES

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

THOMAS S WATERS D.O. (NPI 1831537810) is an individual family medicine provider in Sioux City, Iowa, licensed in Iowa (R-9819) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mary Greeley Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2013).

NPPES Registry Identity

NPI1831537810

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS S WATERSCredential: D.O.

Location Address2501 PIERCE STSioux City, IA 51104-3725

Mailing Address920 S Oak StIowa Falls, IA 50126-9506 · (641) 648-7000

Phone(712) 294-5000

Fax(712) 294-5091

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2013

Enumeration DateJune 12, 2013

Last NPPES UpdateNovember 20, 2020

NPPES CertifiedNovember 20, 2020

✔ NPI 1831537810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R-9819

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.

2501 PIERCE ST, Sioux City, IA 51104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Molina Healthcare, Oscar Insurance Company.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

Thomas S Waters D.o. 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 ID749421485

PECOS Enrollment IDI20141014001387

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

36 services17 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

24 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mary Greeley Medical Center

Acute Care Hospitals · Ames, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160030

Location1111 Duff AvenueAmes, IA 50010 · Story County

Emergency services Birthing friendly

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160064

Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County

Emergency services Birthing friendly

Hansen Family Hospital

Critical Access Hospitals · Iowa Falls, IA

OwnershipGovernment - Local

CMS Certification Number161380

Location920 South Oak StreetIowa Falls, IA 50126 · Hardin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers57 claims107 services$6.10 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers14 claims14 services$1.05 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$15.22 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$3.16 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers22 claims22 services$117.13 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers36 claims67 services$41.31 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers26 claims64 services$22.79 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers16 claims16 services$69.90 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers33 claims33 services$25.01 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers38 claims38 services$18.42 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers68 claims204 services$2.79 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers13 claims13 services$13.17 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$61.12 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers30 claims30 services$20.54 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers15 claims15 services$132.62 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims11 services$8.75 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers36 claims36 services$48.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers82 claims82 services$105.86 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$33.80 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers32 claims1,205 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers15 claims900 services$0.76 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers33 claims33 services$22.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KORNELIA KELLOGG D.O.

Family Medicine

2501 PIERCE ST
SIOUX CITY, IA 51104

Woodbury County (712) 294-5000

MICHAEL JOHN JUNG MD

Family Medicine

2501 PIERCE ST
SIOUX CITY, IA 51104

Woodbury County (712) 294-5000

SIOUXLAND MEDICAL EDUCATION FOUNDATION PHARMACY

Non-Pharmacy Dispensing Site

2501 PIERCE ST
SIOUX CITY, IA 51104

Woodbury County (712) 294-5000

DANIEL IRWIN

Family Medicine

2501 PIERCE ST
SIOUX CITY, IA 51104

Woodbury County (712) 294-5000

AMJAD ABDELHADY MD

Family Medicine

2501 PIERCE ST
SIOUX CITY, IA 51104

Woodbury County (712) 294-5018

GARY HEATH PA

Physician Assistant

2501 PIERCE ST
SIOUX CITY, IA 51104

Woodbury County (712) 294-5000

RAVINDER AUJLA

Family Medicine

2501 PIERCE ST
SIOUX CITY, IA 51104

Woodbury County (712) 294-5018

FNU ANUM

Family Medicine

2501 PIERCE ST
SIOUX CITY, IA 51104

Woodbury County (712) 294-5018

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 Thomas Waters's NPI number?

The NPI number for Thomas Waters is 1831537810. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Thomas Waters located?

Thomas Waters practices at 2501 Pierce St, Sioux City, IA 51104. The listed phone number is (712) 294-5000.

What is Thomas Waters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Waters enrolled in Medicare?

Yes. Thomas Waters 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 Thomas Waters accept?

Health plans from Medica, Molina Healthcare and Oscar Insurance Company list Thomas Waters 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 Thomas Waters affiliated with any hospitals?

According to CMS data, Thomas Waters is affiliated with Mary Greeley Medical Center, Mercyone North Iowa Medical Center and Hansen Family Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Waters was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.