Thomas M Waterbury, MD - Medicare Interventional Cardiology in Sioux Falls, SD

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Thomas M Waterbury, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Sioux Falls, South Dakota. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Avera Mckennan, Wagner Community Memorial Hospital, Heart Hospital Of South Dakota Llc, Avera Mckennan, Spencer Municipal Hospital and his current practice location is 4520 W 69th St, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 977-5000.

Thomas M Waterbury is licensed to practice in South Dakota (license number 11389) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225392160.

Contact Information

Thomas M Waterbury, MD
4520 W 69th St,
Sioux Falls, SD 57108-8148
(605) 977-5000
(605) 977-5377

Map and Direction




Physician's Profile

Full NameThomas M Waterbury
GenderMale
SpecialityInterventional Cardiology
Experience12 Years
Location4520 W 69th St, Sioux Falls, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas M Waterbury attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1225392160
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 07/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2062658909
  • Enrollment ID: I20190715001786

Medical Identifiers

Medical identifiers for Thomas M Waterbury such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225392160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 56770 (Minnesota)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 56770 (Minnesota)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 56770 (Minnesota)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 11389 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Heart Hospital Of South DakotaSioux falls, SDHospital
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital
Floyd Valley HealthcareLe mars, IAHospital
Spencer Municipal HospitalSpencer, IAHospital
Brookings Health SystemBrookings, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103848
Wagner Community Memorial Hospital357745970016
Heart Hospital Of South Dakota Llc579977724953
Avera Mckennan0345157103848
Spencer Municipal Hospital418353306083

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas M Waterbury allows following entities to bill medicare on his behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117
Entity NameWagner Community Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740306992
PECOS PAC ID: 3577459700
Enrollment ID: O20040225000391
Entity NameSt Michael's Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1730123522
PECOS PAC ID: 2668380262
Enrollment ID: O20101007000239
Entity NameFreeman Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740570076
PECOS PAC ID: 7315908324
Enrollment ID: O20110519000169
Entity NameHeart Hospital Of South Dakota Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1407109705
PECOS PAC ID: 5799777249
Enrollment ID: O20130222000000
Entity NameAvera Holy Family
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083652887
PECOS PAC ID: 7113837428
Enrollment ID: O20231205002781

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas M Waterbury is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas M Waterbury, MD
200 1st St Sw,
Rochester, MN 55905-0001

Ph: (507) 284-2511		Thomas M Waterbury, MD
4520 W 69th St,
Sioux Falls, SD 57108-8148

Ph: (605) 977-5000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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