DAVID G WATERMAN (MD) – Ophthalmology Physician, NPI 1689603284

DAVID G WATERMAN (MD) is a healthcare provider. based in Logan, Utah. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 363225-1205/8905 (UT). The NPI Number for DAVID G WATERMAN (MD) is 1689603284

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DAVID G WATERMAN (MD)
NPI
1689603284
Phone
(435) 752-7445
Address
1300 N 500 E
Enumeration Date
3 July 2006
Last Update Date
28 March 2017

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4357527445
Graduation Year
1994 (32 years ago)
PAC ID
0941307797
Group Practice PAC ID
6507927886
Professional Enrollment ID
I20081205000092
Address ID
UT843412469LO1300X500X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

214 OPHTHALMOLOGY in UT

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Provider Addresses for DAVID G WATERMAN (MD)

  • 1300, North 500 East, Logan, Cache County, Utah, 84341, United States

    SUITE 350

    LOGAN, UT 843412408

    Phone: (435) 752-7445

    Fax: (435) 753-3059

    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 10 Open Payments records for all available years, with a total value of $227.

Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alcon Vision LLC ($171).

Total Amount

$227

General + Research + Ownership

Payments

10

Total payment records

General Amount

$227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2008-12-05

PECOS data refreshed: 2026-06-15

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
I20081205000092IOphthalmologyUTTBD

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
92014Established patient complete exam of visual system426423$0
99213Established patient office or other outpatient visit, 20-29 minutes12293$0
92133Imaging of optic nerve4242$0
66984Removal of cataract with insertion of prosthetic lens4228$0
99214Established patient office or other outpatient visit, 30-39 minutes4241$0
View full utilization report →

Insurance plans in this area (ZIP 84341)

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Provider's Procedures

DAVID G WATERMAN (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYUT92012Eye and medical examination for diagnosis and treatment, established patient1212
OPHTHALMOLOGYUT92083Measurement of field of vision during daylight conditions4845
OPHTHALMOLOGYUT92134Diagnostic imaging of retina2121

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: 6507927886View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNV
O P T O M E T R YUT
O P H T H A L M O L O G YUT

Reviews

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Frequently asked questions

How do payers reference DAVID G WATERMAN (MD)?
For DAVID G WATERMAN (MD), use NPI 1689603284 as the unique 10-digit identifier.
Is DAVID G WATERMAN (MD) still an active registrant?
DAVID G WATERMAN (MD) carries an active NPI according to the public dataset.
What kind of doctor is DAVID G WATERMAN (MD)?
DAVID G WATERMAN (MD) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DAVID G WATERMAN (MD)?
Directory geography for DAVID G WATERMAN (MD) centers on Logan, Utah.
Can I trust this NPI listing for DAVID G WATERMAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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