ZACHRY LANE WATERSON DO
NPI 1902842677
Family Medicine in Fort Wayne, IN
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
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zachry Lane Waterson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Zachry Waterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46802
- Reassigned Medicare billing, Indiana enrollment
- 36 clinicians in this Medicare group
Fort Wayne, IN 46802
- Reassigned Medicare billing, Indiana enrollment
- 14 clinicians in this Medicare group
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
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.
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.
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.
Reported Quality Measures
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.
FORT WAYNE, IN 46802
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.
Which organizations bill Medicare for Zachry Waterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachry Waterson reassigns Medicare benefits to 2 organizations: Neighborhood Health Clinics, Inc (Fort Wayne, IN) and Fort Wayne Medical Education Program (Fort Wayne, IN). 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 Zachry Waterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Zachry Lane Waterson, DO · NPI 1902842677
Family Medicine physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since June 21, 2006.
## Identity
- **NPI:** 1902842677 (Entity type: Individual)
- **Enumerated:** June 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0200245A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 BROADWAY, SUITE 350, Fort Wayne, IN 46802-1411
- **Phone:** (260) 423-2682 · **Fax:** (260) 422-4326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Neighborhood Health Clinics, Inc (NPI 1487404679, Fort Wayne, IN); Fort Wayne Medical Education Program (NPI 1184635153, Fort Wayne, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2011
- **Other identifiers:** Other 000000015336; Medicare UPIN H25255; Other 000000222712; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902842677) · Data from the CMS NPPES public registry.