THOMAS M. WATERBURY MD NPI 1225392160

NPI Information

  • NPI: 1225392160
  • Provider Name: THOMAS M. WATERBURY, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4520 W 69TH ST
    SIOUX FALLS, SD
    ZIP 57108
  • Phone: (605) 977-5000

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NPI Details

Thomas M. Waterbury, MD is an interventional cardiology internal medicine in Sioux Falls, SD with 14 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Thomas M. Waterbury, MD NPI is 1225392160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

4520 W 69TH ST
SIOUX FALLS, SD
ZIP 57108-148
Phone: (605) 977-5000
Fax: (605) 977-5377

The NPI 1225392160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Heart muscle strain imaging (HCPCS:93356)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Coronary angioplasty and stenting (HCPCS:NAN05)

The enumeration date for this NPI number is 6/26/2012 and was last updated on 7/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine56770MINNESOTANo
2207RC0000XInternal MedicineCardiovascular Disease56770MINNESOTANo
3207RI0011XInternal MedicineInterventional Cardiology11389SOUTH DAKOTAYes
4207RI0011XInternal MedicineInterventional Cardiology56770MINNESOTANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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