DR. ALAN J. ANTHONY (MD) – Dermatology Physician, NPI 1114003415

DR. ALAN J. ANTHONY (MD) is a healthcare provider. based in Logansport, Indiana. specializing in DERMATOLOGY, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 15007 (NV). The NPI Number for DR. ALAN J. ANTHONY (MD) is 1114003415

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALAN J. ANTHONY (MD)
NPI
1114003415
Phone
(574) 753-2222
Address
1025 MICHIGAN AVE
Enumeration Date
29 October 2006
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8435162024
Graduation Year
2000 (26 years ago)
PAC ID
5698857753
Group Practice PAC ID
1759723323
Professional Enrollment ID
I20120324000002
Address ID
SC295823012NO506XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

247 DERMATOLOGY in IN

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Provider Addresses for DR. ALAN J. ANTHONY (MD)

  • 1025, Michigan Avenue, Logansport, Cass County, Indiana, 46947, United States

    STE 215

    LOGANSPORT, IN 469471593

    Phone: (574) 753-2222

    Fax: (574) 753-0522

    Type: Mailing

  • 3601 SW 160TH AVE STE 250

    MIRAMAR, FL 330276314

    Phone: (954) 399-4673

    Type: Mailing

  • 331 E MAIN ST STE 200

    ROCK HILL, SC 297305384

    Phone: (954) 399-4673

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $540.

Total Amount is formed as General ($540) + Research ($0) + Ownership ($0) = $540.

Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Janssen Biotech, Inc. ($200).

Total Amount

$540

General + Research + Ownership

Payments

29

Total payment records

General Amount

$540

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-21

Latest reported date

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: 2012-03-24

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
I20120324000002IDermatologySCTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,252207$0
99213Established patient office or other outpatient visit, 20-29 minutes819497$0
17004Destruction of precancer skin growth, 15 or more growths726452$0
17110Destruction of skin growth, 1-14 growths325249$0
17000Destruction of precancer skin growth, 1 growth269228$0
View full utilization report →

Insurance plans in this area (ZIP 46947)

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Provider's Procedures

DR. ALAN J. ANTHONY (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIN11101Biopsy of each additional growth of skin and/or tissue5043

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: 1759723323View full group profile
NameSpecialtyState
D E R M A T O L O G YSC
Nurse PractitionerSC
Nurse PractitionerSC
Nurse PractitionerNC

Reviews

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Frequently asked questions

What is DR. ALAN J. ANTHONY (MD)'s NPI number?
DR. ALAN J. ANTHONY (MD)'s NPI is 1114003415 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. ALAN J. ANTHONY (MD)?
You should see DR. ALAN J. ANTHONY (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. ALAN J. ANTHONY (MD)?
DR. ALAN J. ANTHONY (MD)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Indiana is DR. ALAN J. ANTHONY (MD) registered?
Use Logansport, Indiana as the headline location for DR. ALAN J. ANTHONY (MD) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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