DR. PETER IAN ANDERSON (M.D.) – Emergency Medicine Physician, NPI 1700866126

DR. PETER IAN ANDERSON (M.D.) is a healthcare provider. based in Jber, Alaska. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 46504-020 (WI). The NPI Number for DR. PETER IAN ANDERSON (M.D.) is 1700866126

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER IAN ANDERSON (M.D.)
NPI
1700866126
Phone
(907) 580-5555
Address
5955 Zeamer Avenue
Enumeration Date
20 January 2006
Last Update Date
7 October 2020

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9077144515
Graduation Year
2002 (24 years ago)
PAC ID
2668543794
Group Practice PAC ID
4587552575
Professional Enrollment ID
I20160614001602
Address ID
AK996697559SO250XXPLXX300

Contacts

Secure Messaging
panderson746548@ak.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

151 EMERGENCY MEDICINE in AK

Provider Addresses for DR. PETER IAN ANDERSON (M.D.)

  • 5955 Zeamer Avenue

    673d MDG

    JBER, AK 99506

    Phone: (907) 580-5555

    Type: Location

  • Central Peninsula Hospital, 250, Hospital Place, Soldotna, Kenai Peninsula, Alaska, 99669, United States

    SOLDOTNA, AK 996696999

    Phone: (907) 714-4444

    Type: Mailing

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: 2016-06-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160614001602IEmergency MedicineAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making286256$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only212188$0
99284Emergency department visit with moderate level of medical decision making137133$0
99291Critical care, first 30-74 minutes2828$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 99506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587552575View full group profile
NameSpecialtyState
Internal MedicineCO
Nurse PractitionerAK
N E U R O L O G YWI
Certified Registered Nurse Anesthetist (Crna)AK
Emergency MedicineAK
Certified Registered Nurse Anesthetist (Crna)AK
P A T H O L O G YAR
-UT
Nurse PractitionerOH
-CT

Reviews

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Frequently asked questions

Can I use this page to confirm DR. PETER IAN ANDERSON (M.D.)'s NPI?
Yes. DR. PETER IAN ANDERSON (M.D.) is listed with NPI 1700866126 in the public NPI dataset.
Is DR. PETER IAN ANDERSON (M.D.) listed as active for patients and plans?
The listing shows DR. PETER IAN ANDERSON (M.D.) as active in the NPI system.
What taxonomy line describes DR. PETER IAN ANDERSON (M.D.)?
For research purposes, treat DR. PETER IAN ANDERSON (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. PETER IAN ANDERSON (M.D.) based?
DR. PETER IAN ANDERSON (M.D.) is tied to Jber, Alaska in the data we show; additional addresses may exist on the full record.
Why does DR. PETER IAN ANDERSON (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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