DR. JOHN S WATERS (M.D.) – Interventional Cardiology Physician, NPI 1033176656

DR. JOHN S WATERS (M.D.) is a healthcare provider. based in Kearney, Nebraska. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036107181 (IL). The NPI Number for DR. JOHN S WATERS (M.D.) is 1033176656

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN S WATERS (M.D.)
NPI
1033176656
Phone
(308) 865-7100
Address
10 E 31ST ST
Enumeration Date
27 April 2006
Last Update Date
8 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
3088652370
Graduation Year
1978 (48 years ago)
PAC ID
9537150321
Group Practice PAC ID
4789098443
Professional Enrollment ID
I20230419002198
Address ID
NE688472958KE3219XAVEX301

Contacts

Secure Messaging
jwaters713972@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

63 INTERVENTIONAL CARDIOLOGY in NE

Provider Addresses for DR. JOHN S WATERS (M.D.)

  • 10 E 31ST ST

    KEARNEY, NE 688472908

    Phone: (308) 865-7100

    Type: Location

  • 5250 RIVER BLUFF CT

    OREANA, IL 625549753

    Phone: (217) 855-5002

    Type: Mailing

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372324163

    Phone: (615) 936-9177

    Type: Location

  • Decatur Memorial Hospital, 2300, North Edward Street, Old King's Orchard, Decatur, Macon County, Illinois, 62526, United States

    GSBLL

    DECATUR, IL 625264163

    Phone: (217) 876-2857

    Fax: (217) 876-2874

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,068.

Total Amount is formed as General ($1,068) + Research ($0) + Ownership ($0) = $1,068.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Inari Medical, Inc. ($445).

Total Amount

$1,068

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,068

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-04-19

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
I20040520000746ICardiovascular Disease (Cardiology)ILTBD
I20230419002198IInterventional CardiologyNETBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only361293$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function240237$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12360$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7875$0
99214Established patient office or other outpatient visit, 30-39 minutes6861$0
View full utilization report →

Insurance plans in this area (ZIP 68847)

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Provider's Procedures

DR. JOHN S WATERS (M.D.) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report31202123
INTERVENTIONAL CARDIOLOGYIL93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report9177
INTERVENTIONAL CARDIOLOGYIL93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report1713

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: 4789098443View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
H O S P I T A L I S TNE
Physician AssistantNE
Interventional Cardiology, Cardiovascular Disease (Cardiology)NE
Physical Medicine And RehabilitationNE
N E U R O S U R G E R YNY
Nurse PractitionerNE
Hospitalist, Family PracticeNE
Hospitalist, Family PracticeNE
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)NE

Reviews

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Frequently asked questions

Where can patients find DR. JOHN S WATERS (M.D.)'s NPI?
You can confirm DR. JOHN S WATERS (M.D.) with NPI 1033176656; it appears in the national provider directory.
Does this profile mean DR. JOHN S WATERS (M.D.) is currently active?
Yes — DR. JOHN S WATERS (M.D.) appears active in the national provider directory.
Does DR. JOHN S WATERS (M.D.) list a primary specialty?
If you are matching referrals, note Interventional Cardiology Physician for DR. JOHN S WATERS (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JOHN S WATERS (M.D.)?
The snapshot lists Kearney, Nebraska for DR. JOHN S WATERS (M.D.); download NPPES for the complete set.
Is DR. JOHN S WATERS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1033176656. Always confirm identity and privileges with the practice and licensing boards.

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