DR. GARY LEE WATERMAN (D.O.) – Dermatology Physician, NPI 1982632527
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for DR. GARY LEE WATERMAN (D.O.)
27950, US 27, Leesburg, Lake County, Florida, 34748, United States
SUITE 110
LEESBURG, FL 347489050
Phone: (352) 350-5230
Fax: (866) 539-7193
Type: Mailing
110, Pond Court, DeBary, Volusia County, Florida, 32713, United States
SUITE 301
DEBARY, FL 32713
Phone: (386) 742-0419
Fax: (386) 742-0420
Type: Location
102 VALLEY RD
MIDDLETOWN, RI 028425237
Phone: (401) 239-1800
Fax: (401) 239-1793
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 206 Open Payments records for all available years, with a total value of $5,853.
Total Amount is formed as General ($5,853) + Research ($0) + Ownership ($0) = $5,853.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($808).
Total Amount
$5,853
General + Research + Ownership
Payments
206
Total payment records
General Amount
$5,853
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $808 |
| Incyte Corporation | $722 |
| PFIZER INC. | $643 |
| GENZYME CORPORATION | $413 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $340 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050308000411 | I | Dermatology | FL | TBD |
| I20250428003034 | I | Dermatology | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34748)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | MD | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY |
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