DAVID SCOTT ANDERSON (MD) – Emergency Medicine Physician, NPI 1124249743

DAVID SCOTT ANDERSON (MD) is a healthcare provider. based in Princeton, Minnesota. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 51654 (MN). The NPI Number for DAVID SCOTT ANDERSON (MD) is 1124249743

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DAVID SCOTT ANDERSON (MD)
NPI
1124249743
Phone
(763) 389-1313
Address
911 NORTHLAND DR
Enumeration Date
1 May 2007
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183263401
Graduation Year
2004 (22 years ago)
PAC ID
8921199043
Group Practice PAC ID
8123939550
Professional Enrollment ID
I20090409000353
Address ID
MN557448648GR1601XRDXX400

Contacts

Secure Messaging
hisdept@direct.cloquethospital.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

3,076 FAMILY PRACTICE in MN

Provider Addresses for DAVID SCOTT ANDERSON (MD)

  • 911 NORTHLAND DR

    PRINCETON, MN 553712172

    Phone: (763) 389-1313

    Type: Mailing

  • 290 MAIN ST NW

    SUITE 100

    ELK RIVER, MN 553301270

    Phone: (763) 241-0373

    Type: Location

  • 512 SKYLINE BLVD STE 1

    CLOQUET, MN 557201199

    Phone: (218) 879-4641

    Type: Mailing

  • 290 Main St NW

    Suite 100

    Elk River, MN 553301270

    Phone: (763) 241-0373

    Type: Location

  • 4625 XENE LANE N

    PLYMOUTH, MN 55446

    Phone: (605) 553-2572

    Type: Mailing

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: 2009-04-09

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
I20090409000353IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making124111$0
99285Emergency department visit with high level of medical decision making7673$0
99283Emergency department visit with low level of medical decision making6159$0
99282Emergency department visit with straightforward medical decision making2525$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 55371)

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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: 8123939550View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerMN
Nurse PractitionerMN
-MN
General SurgeryMN
Family PracticeMN
Nurse PractitionerMN
-MN
Family PracticeMN
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Does DAVID SCOTT ANDERSON (MD) have a public NPI I can cite?
Public records show DAVID SCOTT ANDERSON (MD) under NPI 1124249743.
Does the public listing show DAVID SCOTT ANDERSON (MD) as active?
DAVID SCOTT ANDERSON (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DAVID SCOTT ANDERSON (MD)'s specialty?
The extract shows Emergency Medicine Physician for DAVID SCOTT ANDERSON (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DAVID SCOTT ANDERSON (MD)?
DAVID SCOTT ANDERSON (MD) shows a connection to Princeton, Minnesota in registry-derived data.
Can I export DAVID SCOTT ANDERSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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