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ZACHRY LANE WATERSON DO
NPI 1902842677
Family Medicine in Fort Wayne, IN

Active since June 21, 2006PECOS Enrolled
90.77/100
CMS Quality Rating
750 BROADWAY, SUITE 350, FORT WAYNE, IN 46802(260) 423-2682(260) 422-4326 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zachry Lane Waterson Do NPPES

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

ZACHRY LANE WATERSON DO (NPI 1902842677) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (0200245A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902842677
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameZACHRY LANE WATERSONCredential: DO
Location Address750 BROADWAY, SUITE 350Fort Wayne, IN 46802-1411
Mailing Address750 Broadway, Suite 150Fort Wayne, IN 46802-1411 · (260) 423-2682 · Fax (260) 422-4326
Phone(260) 423-2682
Fax(260) 422-4326
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 3, 2011
✔ NPI 1902842677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 0200245A
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.
750 BROADWAY, Fort Wayne, IN 46802
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Other Identifiers 5

Other000000015336Mplan
Medicare UPINH25255
Other000000222712Blue Cross
Medicaid200231240IN
Medicare ID-Type Unspecified185760NIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Zachry Lane Waterson Do 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.

Areas of Expertise CMS Part B claims

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.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.07
Promoting Interoperability93
Improvement Activities40
Cost70.54

Reported Quality Measures

e-Prescribing
100%158 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
68%98 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

STEVEN CARL SCHWIETERMAN MD
Family Medicine
750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802
Allen County (260) 423-2682
FORT WAYNE MEDICAL EDUCATION PROGRAM
Family Medicine
750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802
Allen County (260) 423-2675
AMY DAWSON MD
Family Medicine
750 BROADWAY, SUITE 150
FORT WAYNE, IN 46802
Allen County (260) 423-2682
BRADEN DOUGLAS PARMER MD
Family Medicine
750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802
Allen County (260) 423-2675
AMIRUMMUL B NUSAIREE MD
Family Medicine
750 BROADWAY, SUITE 150
FORT WAYNE, IN 46802
Allen County (260) 423-2682
AUBREY ANN BACCARI PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
750 BROADWAY
FORT WAYNE, IN 46802
Allen County (260) 399-4249
AARON KIMO CORAY DO
Family Medicine
750 BROADWAY, SUITE 150
FORT WAYNE, IN 46802
Allen County (260) 423-2682
MICHELLE ALISON BOJRAB MS,RDN,CD
Dietitian, Registered
750 BROADWAY, SUITE 350
FORT WAYNE, IN 46802
Allen County (260) 423-2675

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 Zachry Waterson's NPI number?

The NPI number for Zachry Waterson is 1902842677. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Zachry Waterson located?

Zachry Waterson practices at 750 Broadway Suite 350, Fort Wayne, IN 46802. The listed phone number is (260) 423-2682.

What is Zachry Waterson's specialty?

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

Is Zachry Waterson enrolled in Medicare?

Yes. Zachry Waterson is registered in the Medicare PECOS enrollment system.

What insurance does Zachry Waterson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Zachry 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.

When was this NPI record last updated?

The NPPES record for Zachry Waterson was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.