DR. EMILY J ANDERSON (MD) – Family Medicine Physician, NPI 1770551335
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for DR. EMILY J ANDERSON (MD)
4325 Grand Ave
Duluth, MN 558072730
Phone: (218) 722-1497
Fax: (218) 722-6239
Type: Location
2222 E 5TH ST
SUPERIOR, WI 548803709
Phone: (715) 392-1955
Fax: (715) 392-1935
Type: Mailing
4325, Grand Avenue, Oneota, Duluth, Saint Louis County, Minnesota, 55807, United States
DULUTH, MN 558072730
Phone: (218) 722-1497
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 $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Mentor Worldwide LLC ($55).
Total Amount
$55
General + Research + Ownership
Payments
1
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $55 |
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: 2007-09-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050908000122 | I | Family Practice | MN | TBD |
| I20070926000244 | I | Family Practice | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 123 | 86 | $0 |
| 80047 | Blood test, basic group of blood chemicals (calcium, ionized) | 109 | 82 | $0 |
| 83036 | Hemoglobin a1c level | 67 | 37 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 32 | 26 | $0 |
| 81003 | Automated urinalysis test | 14 | 11 | $0 |
Insurance plans in this area (ZIP 55807)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MN | 85610 | Blood test, clotting time | 85 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MN | |
| C H I R O P R A C T I C | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| C H I R O P R A C T I C | MN | |
| Physician Assistant | MN | |
| Clinical Social Worker | WI | |
| C H I R O P R A C T I C | MN | |
| Family Practice | WI | |
| Physician Assistant | MN |
Reviews
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