DAVID MICHAEL II ANDERSON (MD) – Addiction Medicine (Preventive Medicine) Physician, NPI 1962661488
Addiction Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
69 INTERVENTIONAL PAIN MANAGEMENT in KY
Provider Addresses for DAVID MICHAEL II ANDERSON (MD)
Professional Boulevard, Evansville, Vanderburgh County, Indiana, 47750, United States
EVANSVILLE, IN 477148018
Phone: (812) 477-7246
Fax: (812) 477-7240
Type: Mailing
6400 Dutchmans Pkwy Ste 600
Louisville, KY 402053340
Phone: (812) 477-7246
Fax: (812) 477-7240
Type: Location
5722 Outer Loop
Louisville, KY 402194156
Phone: (502) 492-7455
Fax: (502) 921-0222
Type: Location
5720 OUTER LOOP
LOUISVILLE, KY 402194156
Phone: (502) 390-7246
Fax: (502) 233-4919
Type: Mailing
Dutchmans Parkway, St. Matthews, Jefferson County, Kentucky, 40205, United States
LOUISVILLE, KY 402053340
Phone: (812) 477-7246
Fax: (812) 477-7240
Type: Location
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 452122600
Phone:
Fax: (502) 233-4919
Type: Mailing
9702 STONESTREET RD STE 120
LOUISVILLE, KY 402726812
Phone: (866) 934-7450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Indivior Inc. ($121).
Total Amount
$121
General + Research + Ownership
Payments
6
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $121 |
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: 2013-07-25
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 |
|---|---|---|---|---|
| I20130725000969 | I | Interventional Pain Management | KY | 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 47714)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | VA | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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