PAUL C ANDERSON (MD) – Emergency Medicine Physician, NPI 1003894817

PAUL C ANDERSON (MD) is a healthcare provider. based in Wilmington, Delaware. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. C10003062 (DE). The NPI Number for PAUL C ANDERSON (MD) is 1003894817

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
PAUL C ANDERSON (MD)
NPI
1003894817
Phone
(302) 224-5878
Address
PO BOX 3048
Enumeration Date
3 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
3779776398
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20101014001433
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for PAUL C ANDERSON (MD)

  • Wilmington Post Office, North Avalon Boulevard, Wilmington, Los Angeles, Los Angeles County, California, 90749, United States

    WILMINGTON, DE 198040048

    Phone: (302) 224-5878

    Fax: (302) 224-2848

    Type: Mailing

  • 4755 OGELTOWN STANTON ROAD

    NEWARK, DE 197180001

    Phone: (302) 733-1000

    Fax: (302) 733-1633

    Type: Location

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: 2010-10-14

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
I20101014001433IEmergency MedicineDETBD

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 making426420$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only234223$0
99284Emergency department visit with moderate level of medical decision making8987$0
View full utilization report →

Insurance plans in this area (ZIP 19804)

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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: 9739097569View full group profile
NameSpecialtyState
-DE
-DE
-PA
Internal MedicineDE
Physician AssistantDE
Nurse PractitionerPA
General SurgeryIL
Diagnostic RadiologyNY
Internal MedicineNY
Hospitalist, Internal MedicinePA

Reviews

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Frequently asked questions

What is the 10-digit NPI for PAUL C ANDERSON (MD)?
PAUL C ANDERSON (MD) — NPI 1003894817 — is the standard way to identify this listing.
Does CMS list PAUL C ANDERSON (MD) as active?
Yes — PAUL C ANDERSON (MD) is active in the NPI listing used on this page.
What taxonomy line describes PAUL C ANDERSON (MD)?
For research purposes, treat PAUL C ANDERSON (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does PAUL C ANDERSON (MD) serve?
PAUL C ANDERSON (MD)'s listing highlights Wilmington, Delaware; more addresses can appear in NPPES.
Is the information about PAUL C ANDERSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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