DR. DAVID C WATERSON (DO) – Sports Medicine (Family Medicine) Physician, NPI 1295778801
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
244 SPORTS MEDICINE in MI
Provider Addresses for DR. DAVID C WATERSON (DO)
2900 Hannah Blvd
Suite 212
East Lansing, MI 488235384
Phone: (517) 319-1831
Fax: (517) 664-2930
Type: Location
451 Health Pkwy
Paw Paw, MI 490798242
Phone: (269) 655-1725
Fax: (269) 657-0586
Type: Location
Michigan Athletic Club, 2900, Hannah Boulevard, East Lansing, Ingham County, Michigan, 48823, United States
SUITE 212
EAST LANSING, MI 488235384
Phone: (517) 319-1831
Fax: (517) 664-2930
Type: Mailing
601 JOHN STREET
BOX 42
KALAMAZOO, MI 49007
Phone:
Type: Mailing
315, Turwill Lane, Westwood, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49006, United States
KALAMAZOO, MI 490064231
Phone: (269) 343-8170
Fax: (269) 382-8490
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $265.
Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($106).
Total Amount
$265
General + Research + Ownership
Payments
8
Total payment records
General Amount
$265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060306000780 | I | Sports Medicine | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 120 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 48 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 46 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 39 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 48823)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hand Surgery, Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Family Practice | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Endocrinology, Internal Medicine | MI | |
| Clinical Social Worker | MI | |
| Internal Medicine | MI |
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