DR. GARY LEE WATERMAN D.O.
NPI 1982632527
Dermatology in Middletown, RI

Q: What is Gary Waterman's NPI number?

The NPI number for Gary Waterman is 1982632527. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Gary Waterman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Waterman was last updated on August 24, 2021. 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 30, 2006PECOS EnrolledAccepts Medicare Assignment

102 VALLEY RD, MIDDLETOWN, RI 02842(401) 239-1800(401) 239-1793 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2021, Jan 21, 2021, Jan 13, 2021 and 1 more (4 updates tracked since 2015).

On this page

About Dr. Gary Lee Waterman D.o. NPPES

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

DR. GARY LEE WATERMAN D.O. (NPI 1982632527) is an individual dermatology provider in Middletown, Rhode Island, licensed in Pennsylvania (OS005797L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1982632527

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. GARY LEE WATERMANCredential: D.O.

Location Address102 VALLEY RDMiddletown, RI 02842-5237

Mailing Address102 Valley RdMiddletown, RI 02842-5237 · (401) 239-1800 · Fax (401) 239-1793

Phone(401) 239-1800

Fax(401) 239-1793

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateJune 30, 2006

Last NPPES UpdateAugust 24, 20214 updates tracked since enumeration

NPPES CertifiedAugust 24, 2021

✔ NPI 1982632527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in PA · OS005797L✔ Licensed in RI · DO01051

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License OS 4781 (FL)

102 VALLEY RD, Middletown, RI 02842

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary Lee Waterman 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 ID2365496197

PECOS Enrollment IDI20250428003034

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.

Medicare Billing Reassignments

Medicare enrollment records show Gary Waterman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bobby Buka, M.D., P.C.

152 mi

Dermatology

220 FRONT ST
New York, NY 10038

Reassigned Medicare billing, New York enrollment
71 clinicians in this Medicare group

NPI 1134349954 (212) 385-3700

Dermatology Of Pompano LLC

1,164 mi

Dermatology

2040 E SAMPLE RD
Lighthouse Point, FL 33064

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1720652514 (954) 960-5404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02842 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%1,698 patients5/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

2%571 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

99%1,275 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

97%1,275 patients4/55-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 20

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

TAL BUNTINX MD

Dermatology