DR. DAVID CHRISTOPHER ANDERHOLM (MD) – Psychiatry Physician, NPI 1528039682

DR. DAVID CHRISTOPHER ANDERHOLM (MD) is a healthcare provider. based in Baxter, Minnesota. specializing in PSYCHIATRY, GERIATRIC PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 34543 (MN). The NPI Number for DR. DAVID CHRISTOPHER ANDERHOLM (MD) is 1528039682

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID CHRISTOPHER ANDERHOLM (MD)
NPI
1528039682
Phone
(218) 454-0090
Address
7115 FORTHUN ROAD
Enumeration Date
27 January 2006
Last Update Date
17 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2184540090
Graduation Year
1990 (36 years ago)
PAC ID
4880623206
Group Practice PAC ID
0941648463
Professional Enrollment ID
I20050805000741
Address ID
MN564258598BA7115XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

746 PSYCHIATRY in MN

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Provider Addresses for DR. DAVID CHRISTOPHER ANDERHOLM (MD)

  • 7115, Forthun Road South, Perch Lake Trailer Court, Baxter, Crow Wing County, Minnesota, 56425, United States

    SUITE 105

    BAXTER, MN 56425

    Phone: (218) 454-0090

    Fax: (218) 454-0091

    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: 2005-08-05

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
I20050805000741IPsychiatryMNTBD

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 minutes324113$0
99213Established patient office or other outpatient visit, 20-29 minutes4130$0
99215Established patient office or other outpatient visit, 40-54 minutes3214$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes2211$0
View full utilization report →

Insurance plans in this area (ZIP 56425)

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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: 0941648463View full group profile
NameSpecialtyState
Clinical Social WorkerMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical Social WorkerIN
Clinical Social WorkerMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Mental Health CounselorOR
Clinical PsychologistOR
Marriage And Family TherapistWA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DAVID CHRISTOPHER ANDERHOLM (MD)?
NPI 1528039682 is assigned to DR. DAVID CHRISTOPHER ANDERHOLM (MD) under the national enumeration system.
Is DR. DAVID CHRISTOPHER ANDERHOLM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. DAVID CHRISTOPHER ANDERHOLM (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. DAVID CHRISTOPHER ANDERHOLM (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAVID CHRISTOPHER ANDERHOLM (MD)?
The page summarizes Baxter, Minnesota for DR. DAVID CHRISTOPHER ANDERHOLM (MD); expand the address list for detail.
How can I contact DR. DAVID CHRISTOPHER ANDERHOLM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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