DR. CHARLES EDWARD JR. ANDERSON (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1386646347

DR. CHARLES EDWARD JR. ANDERSON (MD) is a healthcare provider. based in Palm springs, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. G44919 (CA). The NPI Number for DR. CHARLES EDWARD JR. ANDERSON (MD) is 1386646347

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES EDWARD JR. ANDERSON (MD)
NPI
1386646347
Phone
(760) 969-5200
Address
1180 N INDIAN CANYON DR
Enumeration Date
2 June 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9098872991
Graduation Year
1979 (47 years ago)
PAC ID
8527057876
Group Practice PAC ID
8224088091
Professional Enrollment ID
I20060412000376
Address ID
CA923244621CO1850XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for DR. CHARLES EDWARD JR. ANDERSON (MD)

  • 1180, North Indian Canyon Drive, Old Las Palmas, Palm Springs, Riverside County, California, 92262, United States

    STE E408

    PALM SPRINGS, CA 922624868

    Phone: (760) 969-5200

    Fax: (760) 969-5201

    Type: Mailing

  • North Indian Canyon Drive, Palm Springs, Riverside County, California, 92292, United States

    STE E408

    PALM SPRINGS, CA 922624800

    Phone: (760) 969-5200

    Fax: (760) 969-5201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Boston Scientific Corporation ($116).

Total Amount

$178

General + Research + Ownership

Payments

6

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-04-12

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
I20060412000376IAnesthesiologyCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes727179$0
99213Established patient office or other outpatient visit, 20-29 minutes512249$0
62370Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician4317$0
76942Ultrasonic guidance for needle placement2713$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 92262)

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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: 8224088091View full group profile
NameSpecialtyState
Physician AssistantCA
C H I R O P R A C T I CCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CHARLES EDWARD JR. ANDERSON (MD)?
DR. CHARLES EDWARD JR. ANDERSON (MD) — NPI 1386646347 — is the standard way to identify this listing.
Does the file indicate DR. CHARLES EDWARD JR. ANDERSON (MD) is practicing under active NPI?
Directory data currently reports DR. CHARLES EDWARD JR. ANDERSON (MD) as active.
What is DR. CHARLES EDWARD JR. ANDERSON (MD)'s specialty?
The listing groups DR. CHARLES EDWARD JR. ANDERSON (MD) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What area does DR. CHARLES EDWARD JR. ANDERSON (MD) serve?
DR. CHARLES EDWARD JR. ANDERSON (MD)'s listing highlights Palm Springs, California; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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