DR. CY K ANDERSON (MD) – Internal Medicine Physician, NPI 1588632590

DR. CY K ANDERSON (MD) is a healthcare provider. based in Emporia, Kansas. specializing in INTERNAL MEDICINE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. 04-26498 (KS). The NPI Number for DR. CY K ANDERSON (MD) is 1588632590

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. CY K ANDERSON (MD)
NPI
1588632590
Phone
(620) 343-2900
Address
1301 W 12TH AVE STE 401
Enumeration Date
8 March 2006
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6203432900
Graduation Year
1995 (31 years ago)
PAC ID
4587613542
Group Practice PAC ID
5496659195
Professional Enrollment ID
I20050117000309
Address ID
KS668012591EM1301XAVEX401
Telehealth
Yes

Contacts

Secure Messaging
canderson1582@stormontvaildirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

1,289 INTERNAL MEDICINE in KS

Provider Addresses for DR. CY K ANDERSON (MD)

  • 1301 W 12TH AVE STE 401

    EMPORIA, KS 668012591

    Phone: (620) 343-2900

    Fax: (620) 343-9484

    Type: Mailing

  • Newman Medical Plaza, 1301, West 12th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States

    SUITE 401

    EMPORIA, KS 668012587

    Phone: (620) 343-2900

    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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Dexcom, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$15
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: 2005-01-17

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
I20050117000309IInternal MedicineKSTBD

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 minutes1,252428$0
36415Insertion of needle into vein for collection of blood sample947400$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit282282$0
85610Blood test, clotting time26260$0
82043Urine microalbumin (protein) level184119$0
View full utilization report →

Insurance plans in this area (ZIP 66801)

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Provider's Procedures

DR. CY K ANDERSON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKS90670Pneumococcal vaccine for injection into muscle3232

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: 5496659195View full group profile
NameSpecialtyState
-KS
-KS
-KS
Physician AssistantKS
-KS
Cardiac ElectrophysiologyKS
Nurse PractitionerKS
Nurse PractitionerKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is the registry number for DR. CY K ANDERSON (MD)?
The registry entry for DR. CY K ANDERSON (MD) shows NPI 1588632590.
Is DR. CY K ANDERSON (MD)'s NPI status active today?
Active status means DR. CY K ANDERSON (MD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. CY K ANDERSON (MD)'s specialty?
The extract shows Internal Medicine Physician for DR. CY K ANDERSON (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. CY K ANDERSON (MD)?
DR. CY K ANDERSON (MD) is associated with Emporia, Kansas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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