DR. DERYCK S WATERMEYER (MD) – Anesthesiology Physician, NPI 1285662296
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101123000666 | I | Anesthesiology | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00537 | Anesthesia for procedure to assess heart electrical activity | 43 | 42 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 41 | 40 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 25 | 25 | $0 |
| 93312 | Ultrasound of heart with probe in esophagus, with report | 24 | 24 | $0 |
| 93320 | Ultrasound of heart blood flow, valves and chambers | 23 | 23 | $0 |
Insurance plans in this area (ZIP 98335)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | WA | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 16 | 16 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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