DAVID MICHAEL FREDRIC ANDERSON (D.O.) – Internal Medicine Physician, NPI 1265791768

DAVID MICHAEL FREDRIC ANDERSON (D.O.) is a healthcare provider. based in Travis afb, California. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials D.O.. They hold a License No. R5500 (TX). The NPI Number for DAVID MICHAEL FREDRIC ANDERSON (D.O.) is 1265791768

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DAVID MICHAEL FREDRIC ANDERSON (D.O.)
NPI
1265791768
Phone
(707) 423-2000
Address
101 BODIN CIR
Enumeration Date
4 May 2012
Last Update Date
24 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9163251040
Graduation Year
2011 (15 years ago)
PAC ID
5193952984
Group Practice PAC ID
4981506730
Professional Enrollment ID
I20190726001557
Address ID
CA958154530SA1485XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

2,132 CRITICAL CARE (INTENSIVISTS) in CA

Provider Addresses for DAVID MICHAEL FREDRIC ANDERSON (D.O.)

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone: (707) 423-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $355.

Total Amount is formed as General ($355) + Research ($0) + Ownership ($0) = $355.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($91).

Total Amount

$355

General + Research + Ownership

Payments

17

Total payment records

General Amount

$355

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-26

PECOS data refreshed: 2026-06-15

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
I20190726001557ICritical Care (Intensivists)CATBD

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
99291Critical care, first 30-74 minutes18678$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3427$0
94729Test to examine how well the lungs exchange gases2525$0
94726Test to determine lung volumes using sensors2424$0
94010Test to measure expiratory airflow and volume1818$0
View full utilization report →

Insurance plans in this area (ZIP 94535)

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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: 4981506730View full group profile
NameSpecialtyState
Hospitalist, Pulmonary Disease, Family Practice, Internal MedicineIN
Nurse PractitionerCA
Pulmonary DiseaseCA
Pulmonary Disease, Critical Care (Intensivists)CA
Neurology, Internal MedicineCA
-CA
Nurse PractitionerCA
Pulmonary Disease, Infectious DiseaseCA
Pulmonary Disease, Critical Care (Intensivists)CA
Critical Care (Intensivists), Pulmonary DiseaseCA

Reviews

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Frequently asked questions

Is DAVID MICHAEL FREDRIC ANDERSON (D.O.) listed with a National Provider Identifier?
Yes — DAVID MICHAEL FREDRIC ANDERSON (D.O.) has NPI 1265791768 on file in the registry.
Is DAVID MICHAEL FREDRIC ANDERSON (D.O.) still an active registrant?
DAVID MICHAEL FREDRIC ANDERSON (D.O.) carries an active NPI according to the public dataset.
How would a patient describe DAVID MICHAEL FREDRIC ANDERSON (D.O.)'s focus?
For DAVID MICHAEL FREDRIC ANDERSON (D.O.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DAVID MICHAEL FREDRIC ANDERSON (D.O.) associated with Travis Afb?
Public fields place DAVID MICHAEL FREDRIC ANDERSON (D.O.) around Travis Afb, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.