DR. MICHAEL G WATERS (D.O.) – Urology Physician, NPI 1275596538

DR. MICHAEL G WATERS (D.O.) is a healthcare provider. based in Fort worth, Texas. specializing in UROLOGY. They hold the professional credentials D.O.. They hold a License No. DO879 (AL). The NPI Number for DR. MICHAEL G WATERS (D.O.) is 1275596538

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL G WATERS (D.O.)
NPI
1275596538
Phone
(817) 871-9069
Address
2900 ACME BRICK PLZ
Enumeration Date
8 April 2006
Last Update Date
6 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8178719069
Graduation Year
1993 (33 years ago)
PAC ID
7113998592
Group Practice PAC ID
6002076882
Professional Enrollment ID
I20190821001928
Address ID
TX761094123FO2900XPLZX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

861 UROLOGY in TX

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Provider Addresses for DR. MICHAEL G WATERS (D.O.)

  • Acme Brick Plaza, Fort Worth, Tarrant County, Texas, 76109, United States

    FORT WORTH, TX 761094123

    Phone: (817) 871-9069

    Fax: (817) 871-9067

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 190 Open Payments records for all available years, with a total value of $8,117.

Total Amount is formed as General ($8,117) + Research ($0) + Ownership ($0) = $8,117.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($2,541).

Total Amount

$8,117

General + Research + Ownership

Payments

190

Total payment records

General Amount

$8,117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-31

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: 2019-08-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190821001928IUrologyTXTBD

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
J1071Injection, testosterone cypionate, 1 mg19,16620$0
87798Detection test by nucleic acid for organism, amplified probe technique4,888226$0
87481Detection test for candida species (yeast), amplified probe technique1,874226$0
81003Automated urinalysis test1,475858$0
99214Established patient office or other outpatient visit, 30-39 minutes1,322795$0
View full utilization report →

Insurance plans in this area (ZIP 76109)

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Provider's Procedures

DR. MICHAEL G WATERS (D.O.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYAL55700Biopsy of prostate gland1313
UROLOGYAL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1212
UROLOGYAL81002Urinalysis, manual test1818

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: 6002076882View full group profile
NameSpecialtyState
U R O L O G YNJ
Physician AssistantTX
Physician AssistantTX
U R O L O G YTX
U R O L O G YTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
U R O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MICHAEL G WATERS (D.O.)?
NPI 1275596538 is assigned to DR. MICHAEL G WATERS (D.O.) under the national enumeration system.
Does this profile mean DR. MICHAEL G WATERS (D.O.) is currently active?
Yes — DR. MICHAEL G WATERS (D.O.) appears active in the national provider directory.
What field does DR. MICHAEL G WATERS (D.O.) work in?
You can think of DR. MICHAEL G WATERS (D.O.) as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL G WATERS (D.O.)?
We surface Fort Worth, Texas for DR. MICHAEL G WATERS (D.O.) based on available NPPES addresses.
How can I contact DR. MICHAEL G WATERS (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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