DR. RYAN K ANDERSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1053334730
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
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Provider Addresses for DR. RYAN K ANDERSON (DPM)
750 South, Chateau Park, Bountiful, Davis County, Utah, 84010, United States
SUITE 200
BOUNTIFUL, UT 840107268
Phone: (801) 292-4425
Fax: (801) 397-1938
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 9 Open Payments records for all available years, with a total value of $800.
Total Amount is formed as General ($800) + Research ($0) + Ownership ($0) = $800.
Last reported payment date: 2024-09-29 • Largest payer in this snapshot: Abbott Laboratories ($216).
Total Amount
$800
General + Research + Ownership
Payments
9
Total payment records
General Amount
$800
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $216 |
| Stryker Corporation | $170 |
| Bioventus LLC | $134 |
| TACTILE SYSTEMS TECHNOLOGY INC | $112 |
| OSSIO INC | $110 |
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: 2022-10-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100122000699 | I | Podiatry | UT | TBD |
| I20221020001899 | I | Podiatry | OR | 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 84010)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | UT | 11101 | Biopsy of each additional growth of skin and/or tissue | 17 | 17 |
| PODIATRY | UT | 73630 | X-ray of foot, minimum of 3 views | 126 | 61 |
| PODIATRY | UT | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 19 | 17 |
| PODIATRY | UT | 88342 | Tissue or cell analysis by immunologic technique | 23 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NM | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | MO | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | WA | |
| P O D I A T R Y | NM |
Reviews
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