DR. DERYCK S WATERMEYER (MD) – Anesthesiology Physician, NPI 1285662296

DR. DERYCK S WATERMEYER (MD) is a healthcare provider. based in Gig harbor, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD00027177 (WA). The NPI Number for DR. DERYCK S WATERMEYER (MD) is 1285662296

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DERYCK S WATERMEYER (MD)
NPI
1285662296
Phone
Not provided
Address
10420 KOPACHUCK DR NW
Enumeration Date
29 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534266341
Graduation Year
1984 (42 years ago)
PAC ID
2567658065
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20101123000666
Address ID
WA984054933TA1717XSTXX400
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

1,514 ANESTHESIOLOGY in WA

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Provider Addresses for DR. DERYCK S WATERMEYER (MD)

  • 10420 KOPACHUCK DR NW

    GIG HARBOR, WA 983355970

    Phone:

    Type: Mailing

  • Saint Joseph Medical Center, 1717, South J Street, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    TACOMA, WA 984054933

    Phone: (253) 627-4930

    Fax: (253) 627-4649

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-23

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
I20101123000666IAnesthesiologyWATBD

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
00537Anesthesia for procedure to assess heart electrical activity4342$0
36620Insertion of artery tube for blood sampling or infusion through skin4140$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2525$0
93312Ultrasound of heart with probe in esophagus, with report2424$0
93320Ultrasound of heart blood flow, valves and chambers2323$0
View full utilization report →

Insurance plans in this area (ZIP 98335)

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Provider's Procedures

DR. DERYCK S WATERMEYER (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYWA36556Insertion of central venous catheter for infusion, patient 5 years or older1616

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: 0547173866View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DERYCK S WATERMEYER (MD)?
DR. DERYCK S WATERMEYER (MD) — NPI 1285662296 — is the standard way to identify this listing.
Is DR. DERYCK S WATERMEYER (MD) still practicing?
DR. DERYCK S WATERMEYER (MD) is currently listed as active in the public NPI registry.
What is DR. DERYCK S WATERMEYER (MD) best known for clinically?
Directory data describes DR. DERYCK S WATERMEYER (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DERYCK S WATERMEYER (MD) on a map?
Expect Gig Harbor, Washington as a primary anchor for DR. DERYCK S WATERMEYER (MD) unless the record lists multiple sites.
Why does DR. DERYCK S WATERMEYER (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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