DR. DOCK ANDERSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1356574651

DR. DOCK ANDERSON (DPM) is a healthcare provider. based in Bay harbor islands, Florida. specializing in SPORTS MEDICINE, PODIATRY. They hold the professional credentials DPM. They hold a License No. PO3461 (FL). The NPI Number for DR. DOCK ANDERSON (DPM) is 1356574651

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOCK ANDERSON (DPM)
NPI
1356574651
Phone
(305) 746-1100
Address
1085 KANE CONCOURSE
Enumeration Date
2 September 2009
Last Update Date
19 March 2012

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3056742090
Graduation Year
2007 (19 years ago)
PAC ID
1052589108
Group Practice PAC ID
9436336120
Professional Enrollment ID
I20110718000075
Address ID
FL331542105BA1085XCONC300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

419 SPORTS MEDICINE in FL

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Provider Addresses for DR. DOCK ANDERSON (DPM)

  • Wittels Orthopedic & Sports Medicine Center, 1085,1081,1079, 96th Street, Bay Harbor Islands, Miami-Dade County, Florida, 33154, United States

    BAY HARBOR ISLANDS, FL 331542105

    Phone: (305) 746-1100

    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 1 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2023-02-20 • Largest payer in this snapshot: Southern Edge Orthopaedics, inc. ($154).

Total Amount

$154

General + Research + Ownership

Payments

1

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-20

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: 2011-07-18

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
I20110718000075IPodiatryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes20483$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10122$0
73630X-ray of foot, minimum of 3 views5437$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3533$0
View full utilization report →

Insurance plans in this area (ZIP 33154)

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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: 9436336120View full group profile
NameSpecialtyState
Surgical OncologyPA
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YCA
-FL
Colorectal Surgery (Proctology), General SurgeryFL
-FL
-FL
N E U R O L O G YFL
-FL
H E M A T O L O G Y/ O N C O L O G YFL

Reviews

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Frequently asked questions

How do payers reference DR. DOCK ANDERSON (DPM)?
For DR. DOCK ANDERSON (DPM), use NPI 1356574651 as the unique 10-digit identifier.
Is there an active status for DR. DOCK ANDERSON (DPM)?
For scheduling context, DR. DOCK ANDERSON (DPM) is shown as active in the registry.
What clinical focus is listed for DR. DOCK ANDERSON (DPM)?
At a glance, DR. DOCK ANDERSON (DPM) is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DOCK ANDERSON (DPM)?
Travel planning: use Bay Harbor Islands, Florida as the reference point for DR. DOCK ANDERSON (DPM), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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