DR. MICHAEL ANDERSON (M.D.) – Orthopaedic Surgery Physician, NPI 1093792210
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
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Provider Addresses for DR. MICHAEL ANDERSON (M.D.)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
Coral Desert Rehabilitation, 1490 E., Foremaster Drive, St. George, Washington County, Utah, 84690, United States
#150
ST GEORGE, UT 847904488
Phone: (435) 628-9393
Fax: (435) 628-9382
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,066.
Total Amount is formed as General ($1,066) + Research ($0) + Ownership ($0) = $1,066.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Stryker Corporation ($625).
Total Amount
$1,066
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,066
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $625 |
| MicroPort Orthopedics Inc | $179 |
| Total Joint Orthopedics, Inc. | $85 |
| Bioventus LLC | $52 |
| Avanos Medical | $39 |
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: 2004-07-14
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 |
|---|---|---|---|---|
| I20040714001215 | I | Orthopedic Surgery | UT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,910 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 450 | 301 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 220 | 149 | $0 |
| 73564 | X-ray of knee, 4 or more views | 139 | 108 | $0 |
| 73502 | X-ray of hip, 2-3 views | 138 | 117 | $0 |
Insurance plans in this area (ZIP 84604)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| - | UT | |
| - | UT | |
| Orthopedic Surgery | UT | |
| Physical Medicine And Rehabilitation | FL | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | UT | |
| - | FL | |
| - | UT |
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