Kenneth Waterson, PA
NPI 1316255417 · Surgical Physician Assistant · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Waterson, PA is a Surgical Physician Assistant provider in Grand Rapids, MI (NPI 1316255417).
Provider details
- NPI number
- 1316255417
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 5601005898 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
504 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 111 | $65 |
| X-Ray of Knee, 1-2 Views73560 | 100 | $27 |
| X-Ray of Hip, 2-3 Views73502 | 78 | $36 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 68 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 37 | $103 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 27 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 302 | 171 |
| Tizanidine Hcl | 212 | 195 |
| Celecoxib | 115 | 111 |
| Oxycodone Hcl | 106 | 63 |
| Tramadol Hcl | 75 | 54 |
| Meloxicam | 28 | 17 |
| Cefuroxime Axetilbrand: Cefuroxime | 22 | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$49 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-23
- Last updated
- 2013-12-30
Frequently asked questions
- What is Kenneth Waterson's NPI number?
- Kenneth Waterson's National Provider Identifier (NPI) is 1316255417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Waterson's specialty?
- Kenneth Waterson is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Waterson located?
- Kenneth Waterson's practice location on file with NPPES is 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406.
- What is Kenneth Waterson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Waterson is (616) 459-7101.
- Does Kenneth Waterson accept Medicare?
- Kenneth Waterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Waterson's NPI active?
- Yes — Kenneth Waterson's NPI (1316255417) is active in the NPPES registry as of the last update on 2013-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.