MATTHEW LEE ANDERSON (MD) – Family Medicine Physician, NPI 1073598421

MATTHEW LEE ANDERSON (MD) is a healthcare provider. based in Crosby, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 47166 (MN). The NPI Number for MATTHEW LEE ANDERSON (MD) is 1073598421

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW LEE ANDERSON (MD)
NPI
1073598421
Phone
(218) 546-7000
Address
320 E MAIN ST
Enumeration Date
8 December 2005
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2185467000
Graduation Year
2002 (24 years ago)
PAC ID
4981640927
Group Practice PAC ID
9537146550
Professional Enrollment ID
I20050708000529
Address ID
MN564411645CR320XXSTXX400

Contacts

Secure Messaging
mandersonmd273254@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,075 FAMILY PRACTICE in MN

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Provider Addresses for MATTHEW LEE ANDERSON (MD)

  • Cuyuna Regional Medical Center, 320, East Main Street, Towns Edge Mobile Home Park, Crosby, Crow Wing County, Minnesota, 56441, United States

    CROSBY, MN 564411645

    Phone: (218) 546-7000

    Fax: (218) 546-4400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-07-08

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
I20050708000529IFamily PracticeMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56441)

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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: 9537146550View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)IN
H O S P I T A L I S TMN
Nurse PractitionerMN
Internal Medicine, Hospitalist, Internal MedicineFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What is MATTHEW LEE ANDERSON (MD)'s NPI number?
MATTHEW LEE ANDERSON (MD)'s NPI is 1073598421 — the number used across U.S. healthcare to identify this provider.
Is MATTHEW LEE ANDERSON (MD) still an active registrant?
MATTHEW LEE ANDERSON (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for MATTHEW LEE ANDERSON (MD)?
At a glance, MATTHEW LEE ANDERSON (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MATTHEW LEE ANDERSON (MD) associated with Crosby?
Public fields place MATTHEW LEE ANDERSON (MD) around Crosby, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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