MICHAEL PHILLIP ANDERSON (DO) – Emergency Medicine Physician, NPI 1346877768

MICHAEL PHILLIP ANDERSON (DO) is a healthcare provider. based in Mattoon, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101026950 (MI). The NPI Number for MICHAEL PHILLIP ANDERSON (DO) is 1346877768

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL PHILLIP ANDERSON (DO)
NPI
1346877768
Phone
(217) 258-2551
Address
1000 Health Center Dr
Enumeration Date
25 March 2020
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2697828681
Graduation Year
2020 (6 years ago)
PAC ID
7911321898
Group Practice PAC ID
9931635430
Professional Enrollment ID
I20220902001036
Address ID
MI490471943DO420XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for MICHAEL PHILLIP ANDERSON (DO)

  • 1000 Health Center Dr

    Mattoon, IL 619384644

    Phone: (217) 258-2551

    Fax: (217) 258-2256

    Type: Location

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone:

    Type: Mailing

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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-08-18 • Largest payer in this snapshot: CSL Behring ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$25
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: 2025-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220902001036IEmergency MedicineMITBD
I20250226000627IEmergency MedicineTXTBD
I20250904003311IEmergency MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61938)

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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: 9931635430View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineKY
Emergency MedicineOK
Emergency MedicinePA
Emergency MedicineMI
Emergency MedicineWI
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineMI

Reviews

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Frequently asked questions

What is MICHAEL PHILLIP ANDERSON (DO)'s NPI number?
MICHAEL PHILLIP ANDERSON (DO)'s NPI is 1346877768 — the number used across U.S. healthcare to identify this provider.
Is MICHAEL PHILLIP ANDERSON (DO) still an active registrant?
MICHAEL PHILLIP ANDERSON (DO) carries an active NPI according to the public dataset.
What area of care is associated with MICHAEL PHILLIP ANDERSON (DO)?
MICHAEL PHILLIP ANDERSON (DO)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL PHILLIP ANDERSON (DO) located near Mattoon?
MICHAEL PHILLIP ANDERSON (DO) currently maps to Mattoon, Illinois in this extract.
Can I trust this NPI listing for MICHAEL PHILLIP ANDERSON (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.