KEITH RICHARD ANDERSON (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1902185051
Foot & Ankle Surgery Podiatrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
232 PODIATRY in MN
Provider Addresses for KEITH RICHARD ANDERSON (D.P.M.)
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
Phone: (612) 262-5000
Type: Mailing
7231 SUNWOOD DR NW
RAMSEY, MN 553035190
Phone: (763) 236-0000
Type: Location
11040 N STATE ROAD 77
HAYWARD, WI 548433606
Phone: (715) 934-4321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $15,364.
Total Amount is formed as General ($15,364) + Research ($0) + Ownership ($0) = $15,364.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Medline Industries LP ($15,306).
Total Amount
$15,364
General + Research + Ownership
Payments
16
Total payment records
General Amount
$15,364
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $15,306 |
| Stryker Corporation | $58 |
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: 2013-05-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130510000047 | I | Podiatry | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| - | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| O P H T H A L M O L O G Y | LA | |
| Nurse Practitioner | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Physician Assistant | WI | |
| U R O L O G Y | CO |
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