DR. DOUGLAS WARNER ANDERSON (MD) – Family Medicine Physician, NPI 1437171816

DR. DOUGLAS WARNER ANDERSON (MD) is a healthcare provider. based in Warrensburg, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 109116 (MO). The NPI Number for DR. DOUGLAS WARNER ANDERSON (MD) is 1437171816

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS WARNER ANDERSON (MD)
NPI
1437171816
Phone
(660) 747-5114
Address
407 E RUSSELL AVE BLDG C
Enumeration Date
24 July 2006
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
6607475114
Graduation Year
1992 (34 years ago)
PAC ID
7810920204
Group Practice PAC ID
6709171606
Professional Enrollment ID
I20050916000279
Address ID
MO640931242WA407XXAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Provider Addresses for DR. DOUGLAS WARNER ANDERSON (MD)

  • 407 E RUSSELL AVE BLDG C

    WARRENSBURG, MO 640931242

    Phone: (660) 747-5114

    Fax: (660) 747-5684

    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)

CMS reports 130 Open Payments records for all available years, with a total value of $2,395.

Total Amount is formed as General ($2,395) + Research ($0) + Ownership ($0) = $2,395.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($592).

Total Amount

$2,395

General + Research + Ownership

Payments

130

Total payment records

General Amount

$2,395

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-09-16

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
I20050916000279IFamily PracticeMOTBD

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 64093)

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Provider's Procedures

DR. DOUGLAS WARNER ANDERSON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO83036Hemoglobin A1C level12370
FAMILY MEDICINEMO85610Blood test, clotting time26327

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: 6709171606View full group profile
NameSpecialtyState
Family Practice, Sports MedicineMO
Nurse PractitionerMO
Family PracticeMO
Family Practice, Sports MedicineGA
Family PracticeMO
-MO
Family Practice, Sports MedicineMO

Reviews

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Frequently asked questions

What NPI should I save for DR. DOUGLAS WARNER ANDERSON (MD)?
Save NPI 1437171816 if you need a stable reference for DR. DOUGLAS WARNER ANDERSON (MD).
Is DR. DOUGLAS WARNER ANDERSON (MD) currently active in the NPI registry?
CMS-published data lists DR. DOUGLAS WARNER ANDERSON (MD) as an active registrant.
What does DR. DOUGLAS WARNER ANDERSON (MD) treat or focus on?
Patients typically see DR. DOUGLAS WARNER ANDERSON (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DOUGLAS WARNER ANDERSON (MD)?
The page summarizes Warrensburg, Missouri for DR. DOUGLAS WARNER ANDERSON (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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