ANTHONY ANDERSON (MD) – Family Medicine Physician, NPI 1679524094

ANTHONY ANDERSON (MD) is a healthcare provider. based in Festus, Missouri. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MDR7H67 (MO). The NPI Number for ANTHONY ANDERSON (MD) is 1679524094

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY ANDERSON (MD)
NPI
1679524094
Phone
(636) 931-5533
Address
1479A U.S. HIGHWAY 61
Enumeration Date
12 May 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
6369315533
Graduation Year
1986 (40 years ago)
PAC ID
7719922285
Professional Enrollment ID
I20070625000665
Address ID
MO630284162FE1479X61XX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

158 PAIN MANAGEMENT in MO

Provider Addresses for ANTHONY ANDERSON (MD)

  • 1479A U.S. HIGHWAY 61

    FESTUS, MO 630284123

    Phone: (636) 931-5533

    Fax: (636) 931-5502

    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 15 Open Payments records for all available years, with a total value of $1,325.

Total Amount is formed as General ($1,325) + Research ($0) + Ownership ($0) = $1,325.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: SI-BONE, INC. ($736).

Total Amount

$1,325

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2007-06-25

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
I20070625000665IPain ManagementMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes15967$0
99212Established patient office or other outpatient visit, 10-19 minutes5329$0
20610Aspiration and/or injection of fluid from large joint4224$0
62323Injection of substance into lower spine canal using imaging guidance3620$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 63028)

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Provider's Procedures

ANTHONY ANDERSON (MD) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTMO20610Aspiration and/or injection of large joint or joint capsule5731
INTERVENTIONAL PAIN MANAGEMENTMO62311Injections of substances into lower or sacral spine19788
INTERVENTIONAL PAIN MANAGEMENTMO64493Injections of lower or sacral spine facet joint using imaging guidance4543

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANTHONY ANDERSON (MD)?
ANTHONY ANDERSON (MD) — NPI 1679524094 — is the standard way to identify this listing.
Does the file indicate ANTHONY ANDERSON (MD) is practicing under active NPI?
Directory data currently reports ANTHONY ANDERSON (MD) as active.
What is ANTHONY ANDERSON (MD) best known for clinically?
Directory data describes ANTHONY ANDERSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ANTHONY ANDERSON (MD)?
ANTHONY ANDERSON (MD)'s geographic hint is Festus, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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