ROBERT H ANDERSON (PA C) – Physician Assistant, NPI 1700841277
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for ROBERT H ANDERSON (PA C)
113, South Apple Street, Shoshone, Lincoln County, Idaho, 83352, United States
SHOSHONE, ID 833525287
Phone: (208) 886-2224
Fax: (208) 886-2634
Type: Mailing
425 Idaho Street
Gooding, ID 83330
Phone: (208) 934-5900
Fax: (208) 934-5719
Type: Location
1501 Saint Charles St
Fort Benton, MT 594427710
Phone: (406) 622-5485
Fax: (406) 622-5670
Type: Location
425, Idaho Street, Gooding, Gooding County, Idaho, 83330, United States
GOODING, ID 83330
Phone: (208) 934-5900
Fax: (208) 934-5719
Type: Location
PO BOX 5096
GREAT FALLS, MT 594035096
Phone: (406) 622-5485
Type: Mailing
1518 CHOUTEAU ST
FORT BENTON, MT 594429003
Phone: (406) 622-5485
Fax: (406) 622-5670
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $295.
Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($57).
Total Amount
$295
General + Research + Ownership
Payments
16
Total payment records
General Amount
$295
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-06-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070627000706 | I | Physician Assistant | ID | TBD |
| I20250624002953 | I | Physician Assistant | MT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83352)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Physical Therapist In Private Practice | ID | |
| Anesthesiology, Pain Management | MO | |
| Physical Therapist In Private Practice | CO | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Occupational Therapist In Private Practice | MT | |
| Physical Therapist In Private Practice | ID | |
| Diagnostic Radiology | ID | |
| G A S T R O E N T E R O L O G Y | MO |
Reviews
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