BRYAN J ANDERSON (MD) – Surgery Physician, NPI 1811059264
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
191 GENERAL SURGERY in ID
Provider Addresses for BRYAN J ANDERSON (MD)
PO BOX 8007
MOSCOW, ID 838430507
Phone: (208) 882-4511
Fax: (208) 883-6580
Type: Mailing
2400 W A ST STE G
MOSCOW, ID 838434902
Phone: (208) 883-1177
Fax: (208) 892-0170
Type: Location
West Curtisian Avenue, Boise Junction, Boise, Ada County, Idaho, United States
BOISE, ID 837048907
Phone: (208) 321-5275
Fax: (208) 327-5602
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: 2005-12-21
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 |
|---|---|---|---|---|
| I20051221000486 | I | General Surgery | 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 |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 41 | 41 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 15 | 15 | $0 |
Insurance plans in this area (ZIP 83843)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WA | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Internal Medicine | ID | |
| Orthopedic Surgery | ID | |
| Internal Medicine | NY | |
| Nurse Practitioner | ID | |
| - | WA | |
| U R O L O G Y | WA | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Physician Assistant | ID |
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