DOUGLAS EDWARD ANDERSON (MD) – Cardiovascular Disease Physician, NPI 1841294774

DOUGLAS EDWARD ANDERSON (MD) is a healthcare provider. based in Roseburg, Oregon. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. MD192562 (OR). The NPI Number for DOUGLAS EDWARD ANDERSON (MD) is 1841294774

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS EDWARD ANDERSON (MD)
NPI
1841294774
Phone
(541) 677-4319
Address
201 NW MEDICAL LOOP STE 190
Enumeration Date
9 June 2005
Last Update Date
21 February 2020

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
5416771555
Graduation Year
1976 (50 years ago)
PAC ID
1557349594
Group Practice PAC ID
6103982962
Professional Enrollment ID
I20190524001487
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DOUGLAS EDWARD ANDERSON (MD)

  • 201 NW MEDICAL LOOP STE 190

    ROSEBURG, OR 974718835

    Phone: (541) 677-4319

    Fax: (541) 677-2294

    Type: Mailing

  • 2801 NW MERCY DR STE 300

    ROSEBURG, OR 974712348

    Phone: (541) 677-1555

    Fax: (541) 677-2113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Bausch Health US, LLC ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Bausch Health US, LLC$37
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: 2019-05-24

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
I20190524001487ICardiovascular Disease (Cardiology)ORTBD

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 97471)

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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: 6103982962View full group profile
NameSpecialtyState
P O D I A T R YOR
Cardiovascular Disease (Cardiology)WA
-OR
G A S T R O E N T E R O L O G YOR
Nephrology, Internal MedicineWA
Orthopedic SurgeryCA
General SurgeryOR
General SurgeryOR
Cardiovascular Disease (Cardiology)OR
U R O L O G YOR

Reviews

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Frequently asked questions

What identifier follows DOUGLAS EDWARD ANDERSON (MD) across health systems?
The NPI 1841294774 uniquely identifies DOUGLAS EDWARD ANDERSON (MD) in U.S. healthcare data.
Should I treat DOUGLAS EDWARD ANDERSON (MD) as an active provider?
Patients and plans typically see DOUGLAS EDWARD ANDERSON (MD) as active in the national extract.
What does the directory say DOUGLAS EDWARD ANDERSON (MD) does?
Insurance directories may phrase it differently, but here DOUGLAS EDWARD ANDERSON (MD) maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DOUGLAS EDWARD ANDERSON (MD) in Roseburg, Oregon?
For routing, start with Roseburg, Oregon for DOUGLAS EDWARD ANDERSON (MD), then verify phone and hours locally.
Who maintains DOUGLAS EDWARD ANDERSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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