MILES C ANDERSON (MD) – Internal Medicine Physician, NPI 1164403689

MILES C ANDERSON (MD) is a healthcare provider. based in Palm coast, Florida. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. ME81063 (FL). The NPI Number for MILES C ANDERSON (MD) is 1164403689

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MILES C ANDERSON (MD)
NPI
1164403689
Phone
(386) 586-7005
Address
21 HOSPITAL DR STE 125
Enumeration Date
10 November 2005
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3865867005
Graduation Year
1996 (30 years ago)
PAC ID
4486603040
Group Practice PAC ID
9739265141
Professional Enrollment ID
I20050120000810

Contacts

Secure Messaging
miles.anderson@conviva.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MILES C ANDERSON (MD)

  • 125, Nikau Palm Road, Paraparaumu, Kapiti Coast District, Wellington, 5032, New Zealand

    PALM COAST, FL 321642455

    Phone: (386) 586-7005

    Fax: (844) 867-3940

    Type: Location

  • Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States

    MIAMI, FL 331262051

    Phone: (305) 500-2000

    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: 2005-01-20

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
I20050120000810IInternal MedicineFLTBD

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 minutes5940$0
99213Established patient office or other outpatient visit, 20-29 minutes4235$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32164)

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Provider's Procedures

MILES C ANDERSON (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3634

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: 9739265141View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MILES C ANDERSON (MD)?
Save NPI 1164403689 if you need a stable reference for MILES C ANDERSON (MD).
Is MILES C ANDERSON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MILES C ANDERSON (MD) work in?
You can think of MILES C ANDERSON (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MILES C ANDERSON (MD)'s primary listing?
We display Palm Coast, Florida because that is what the record indicates for MILES C ANDERSON (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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