BRIAN D ANDERSON (DO) – Family Medicine Physician, NPI 1134124191

BRIAN D ANDERSON (DO) is a healthcare provider. based in Bettendorf, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 036-098957 (IL). The NPI Number for BRIAN D ANDERSON (DO) is 1134124191

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN D ANDERSON (DO)
NPI
1134124191
Phone
(563) 355-9191
Address
865 LINCOLN RD
Enumeration Date
16 June 2005
Last Update Date
16 January 2023

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
3096294601
Graduation Year
1996 (30 years ago)
PAC ID
0749213114
Group Practice PAC ID
7214841436
Professional Enrollment ID
I20050915000735
Address ID
IL614135023AL202XXSTXX300

Contacts

Secure Messaging
andersonbr@genesishealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

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Provider Addresses for BRIAN D ANDERSON (DO)

  • Genesis Health Group, Bettendorf OB/GYN, 865, Lincoln Road, Bettendorf, Scott County, Iowa, 52722, United States

    STE L10

    BETTENDORF, IA 527224159

    Phone: (563) 355-9191

    Fax: (563) 355-3419

    Type: Mailing

  • 2526, 41st Street, Moline, Rock Island County, Illinois, 61265, United States

    MOLINE, IL 612655016

    Phone: (309) 792-6540

    Fax: (309) 764-9326

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Boston Scientific Corporation ($166).

Total Amount

$180

General + Research + Ownership

Payments

3

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-09-15

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
I20050915000735IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes288152$0
99213Established patient office or other outpatient visit, 20-29 minutes14592$0
G0008Administration of influenza virus vaccine4140$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3737$0
99495Transitional care management services for problem of at least moderate complexity1816$0
View full utilization report →

Insurance plans in this area (ZIP 52722)

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Provider's Procedures

BRIAN D ANDERSON (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL90670Pneumococcal vaccine for injection into muscle4848

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: 7214841436View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
-IA
-IA
Nurse PractitionerIA
Physician AssistantAL
Internal Medicine, HospitalistNC
-IA
O B S T E T R I C S/ G Y N E C O L O G YGA
-IA
-IA

Reviews

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Frequently asked questions

How do I look up BRIAN D ANDERSON (DO) by NPI?
Use NPI 1134124191 when you need to reference BRIAN D ANDERSON (DO) in forms, claims, or directories.
Does this profile mean BRIAN D ANDERSON (DO) is currently active?
Yes — BRIAN D ANDERSON (DO) appears active in the national provider directory.
What field does BRIAN D ANDERSON (DO) work in?
You can think of BRIAN D ANDERSON (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for BRIAN D ANDERSON (DO)?
We surface Bettendorf, Iowa for BRIAN D ANDERSON (DO) based on available NPPES addresses.
How can I contact BRIAN D ANDERSON (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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