Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ty Waters, MD

Individual provider Family Medicine Physician · NPI 1518492388

Ty Waters, MD is registered under Family Practice in Nampa, Idaho. Graduated from University of Nevada School of Medicine in 2017, 9 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Trained at
University of Nevada School of Medicine
Licensed in
ID
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

215 E Hawaii Ave Ste 140
Nampa, ID 83686-6011
Phone: (208) 514-2529
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 N Raymond St, Boise, ID 83704-9251 — (208) 514-2500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-14528 (ID)

Record details

NPI number1518492388
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2017
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients88
Services billed 179 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at St Lukes Clinic-Treasure Valley LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1150 clinicians in the practice; 12 are shown here.

Other providers in Nampa