DR. DAVID EUGENE WATERS (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1386932564

DR. DAVID EUGENE WATERS (D.P.M.) is a healthcare provider. based in Detroit, Michigan. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 381 (NE). The NPI Number for DR. DAVID EUGENE WATERS (D.P.M.) is 1386932564

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID EUGENE WATERS (D.P.M.)
NPI
1386932564
Phone
(313) 433-2089
Address
2799 W GRAND BLVD
Enumeration Date
21 July 2011
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027510600
Graduation Year
2011 (15 years ago)
PAC ID
4880812205
Group Practice PAC ID
3577071562
Professional Enrollment ID
I20250801000757
Address ID
KS672084332WI400XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for DR. DAVID EUGENE WATERS (D.P.M.)

  • 2799 W GRAND BLVD

    DETROIT, MI 48202

    Phone: (313) 433-2089

    Fax: (505) 564-3202

    Type: Location

  • 306 W 2ND ST

    HASTINGS, NE 689017532

    Phone: (402) 751-0600

    Type: Mailing

  • 620 N DENVER AVE

    HASTINGS, NE 689015122

    Phone: (402) 463-1355

    Fax: (402) 463-6947

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $27,254.

Total Amount is formed as General ($27,254) + Research ($0) + Ownership ($0) = $27,254.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Paragon 28, Inc. ($26,393).

Total Amount

$27,254

General + Research + Ownership

Payments

25

Total payment records

General Amount

$27,254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201231001374IPodiatryNETBD
I20250801000757IPodiatryKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter56516$0
99213Established patient office or other outpatient visit, 20-29 minutes449263$0
73630X-ray of foot, minimum of 3 views227119$0
99214Established patient office or other outpatient visit, 30-39 minutes182123$0
11042Removal of skin and tissue, 20.0 sq cm or less14225$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577071562View full group profile
NameSpecialtyState
P O D I A T R YMI

Reviews

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Frequently asked questions

How do payers reference DR. DAVID EUGENE WATERS (D.P.M.)?
For DR. DAVID EUGENE WATERS (D.P.M.), use NPI 1386932564 as the unique 10-digit identifier.
Active or inactive — what applies to DR. DAVID EUGENE WATERS (D.P.M.)?
You should see DR. DAVID EUGENE WATERS (D.P.M.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. DAVID EUGENE WATERS (D.P.M.)?
DR. DAVID EUGENE WATERS (D.P.M.)'s record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. DAVID EUGENE WATERS (D.P.M.) associated with Detroit?
Public fields place DR. DAVID EUGENE WATERS (D.P.M.) around Detroit, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. DAVID EUGENE WATERS (D.P.M.) is noted as July 21, 2011 where the registry provides it.

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