DR. RUSSELL J ANDERSON (DO) – Family Medicine Physician, NPI 1972578862
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in MI
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Provider Addresses for DR. RUSSELL J ANDERSON (DO)
114, North Main Street, Ithaca, Gratiot County, Michigan, 48847, United States
ITHACA, MI 48847
Phone: (989) 875-4166
Fax: (989) 875-3600
Type: Location
PO BOX 730
406 E ELM ST
CARSON CITY, MI 48811
Phone: (989) 584-3131
Fax: (989) 584-6734
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $372.
Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novo Nordisk Inc ($140).
Total Amount
$372
General + Research + Ownership
Payments
20
Total payment records
General Amount
$372
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $140 |
| PFIZER INC. | $46 |
| Alkermes, Inc. | $27 |
| Neurelis, Inc. | $22 |
| Lilly USA, LLC | $19 |
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: 2010-02-04
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20100204000180 | I | Family Practice | MI | 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 48847)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| - | MI | |
| - | MI | |
| Emergency Medicine | IL | |
| G A S T R O E N T E R O L O G Y | MI | |
| Physician Assistant | MI | |
| Family Practice, Osteopathic Manipulative Medicine | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI |
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