MICHAEL ANDERSON (D.O.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1194019406
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 EMERGENCY MEDICINE in ID
Provider Addresses for MICHAEL ANDERSON (D.O.)
450 E MAIN ST
REXBURG, ID 834402048
Phone: (208) 356-3691
Type: Location
202 Maplewood Ave
Ronceverte, WV 249701334
Phone: (304) 647-6529
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: 2015-12-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151231001835 | I | Emergency Medicine | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 124 | 118 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 91 | 86 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 74 | 67 | $0 |
Insurance plans in this area (ZIP 83440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | ID | |
| - | TX | |
| Internal Medicine | ID | |
| Radiation Oncology | UT | |
| Hematology/Oncology, Internal Medicine, Medical Oncology, Hematology/Oncology | UT | |
| H E M A T O L O G Y/ O N C O L O G Y | AL |
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