WILLIAM ROBERT ANDERSON (DO) – Family Medicine Physician, NPI 1235130709

WILLIAM ROBERT ANDERSON (DO) is a healthcare provider. based in Gore, Oklahoma. specializing in FAMILY PRACTICE, GENERAL PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials DO. They hold a License No. 2597 (OK). The NPI Number for WILLIAM ROBERT ANDERSON (DO) is 1235130709

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM ROBERT ANDERSON (DO)
NPI
1235130709
Phone
(918) 489-5757
Address
PO BOX 479
Enumeration Date
9 August 2005
Last Update Date
27 December 2011

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9188802273
Graduation Year
1986 (40 years ago)
PAC ID
0648166520
Group Practice PAC ID
8729528914
Professional Enrollment ID
I20040226000668
Address ID
OK744352015GO1003XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for WILLIAM ROBERT ANDERSON (DO)

  • 479, Otama Valley Road, Gore District, Southland, New Zealand

    GORE, OK 74435

    Phone: (918) 489-5757

    Fax: (918) 489-5411

    Type: Mailing

  • 700 N MAIN

    GORE, OK 74435

    Phone: (918) 489-5757

    Fax: (918) 489-5411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-26

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
I20040226000668IFamily PracticeOKTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,958567$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes164164$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes3939$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 74435)

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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: 8729528914View full group profile
NameSpecialtyState
Nurse PractitionerAR
General PracticeOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What number should I use to identify WILLIAM ROBERT ANDERSON (DO) for billing?
Administrative and clinical systems typically use NPI 1235130709 for WILLIAM ROBERT ANDERSON (DO).
Does the public listing show WILLIAM ROBERT ANDERSON (DO) as active?
WILLIAM ROBERT ANDERSON (DO)'s NPI record reflects an active status in NPPES.
What does the directory say WILLIAM ROBERT ANDERSON (DO) does?
Insurance directories may phrase it differently, but here WILLIAM ROBERT ANDERSON (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is WILLIAM ROBERT ANDERSON (DO) tied to Gore, Oklahoma?
If you are local to Gore, Oklahoma, WILLIAM ROBERT ANDERSON (DO) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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