DERRICK ANDERSON (MD) – Family Medicine Physician, NPI 1609876606
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
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Provider Addresses for DERRICK ANDERSON (MD)
North 27th Street, Autumn Wood, Lincoln, Lancaster County, Nebraska, 68521, United States
LINCOLN, NE 685031803
Phone: (402) 476-1455
Fax: (402) 476-1670
Type: Location
200 E 2ND AVE
GASTONIA, NC 280524358
Phone: (704) 703-7003
Fax: (704) 865-4614
Type: Mailing
1831 N FAYETTEVILLE ST
ASHEBORO, NC 272033273
Phone: (336) 672-1300
Fax: (336) 672-3044
Type: Location
PO BOX 19305
CHARLOTTE, NC 282199305
Phone:
Type: Mailing
2301 US HIGHWAY 74 W
WADESBORO, NC 281707554
Phone: (704) 994-4900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $507.
Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($105).
Total Amount
$507
General + Research + Ownership
Payments
25
Total payment records
General Amount
$507
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $105 |
| Janssen Pharmaceuticals, Inc | $95 |
| IRONWOOD PHARMACEUTICALS, INC | $45 |
| AstraZeneca Pharmaceuticals LP | $31 |
| Amgen Inc. | $30 |
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: 2021-11-08
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 |
|---|---|---|---|---|
| I20211108001930 | I | Family Practice | NC | 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 68503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Clinical Social Worker | NJ | |
| Nurse Practitioner | CT | |
| Family Practice | NC | |
| P S Y C H I A T R Y | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| Family Practice | SC |
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