DANIEL MATTHEW ANDERSON (DO) – Internal Medicine Physician, NPI 1104112705

DANIEL MATTHEW ANDERSON (DO) is a healthcare provider. based in Powell, Tennessee. specializing in Internal Medicine Physician. They hold the professional credentials DO. They hold a License No. 2996 (TN). The NPI Number for DANIEL MATTHEW ANDERSON (DO) is 1104112705

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL MATTHEW ANDERSON (DO)
NPI
1104112705
Phone
(865) 859-7377
Address
603 E EMORY RD STE 105
Enumeration Date
22 June 2011
Last Update Date
1 September 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8658597350
Graduation Year
2016 (10 years ago)
PAC ID
9335448828
Group Practice PAC ID
6103097316
Professional Enrollment ID
I20160505000271

Contacts

Secure Messaging
daniel.anderson.1@4694.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

Provider Addresses for DANIEL MATTHEW ANDERSON (DO)

  • 603 E EMORY RD STE 105

    POWELL, TN 378493567

    Phone: (865) 859-7377

    Fax: (865) 859-7378

    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 14 Open Payments records for all available years, with a total value of $274.

Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($106).

Total Amount

$274

General + Research + Ownership

Payments

14

Total payment records

General Amount

$274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2022-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160505000271IInternal MedicineTNTBD
I20220430000192IInternal MedicineKYTBD

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 37849)

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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: 6103097316View full group profile

Reviews

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Frequently asked questions

Is DANIEL MATTHEW ANDERSON (DO) listed with a National Provider Identifier?
Yes — DANIEL MATTHEW ANDERSON (DO) has NPI 1104112705 on file in the registry.
Is there an active status for DANIEL MATTHEW ANDERSON (DO)?
For scheduling context, DANIEL MATTHEW ANDERSON (DO) is shown as active in the registry.
What expertise is attributed to DANIEL MATTHEW ANDERSON (DO)?
DANIEL MATTHEW ANDERSON (DO)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DANIEL MATTHEW ANDERSON (DO)?
Directory geography for DANIEL MATTHEW ANDERSON (DO) centers on Powell, Tennessee.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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