ZACHARY ANDERSON (DPM) – Podiatrist, NPI 1720464787

ZACHARY ANDERSON (DPM) is a healthcare provider. based in Midvale, Utah. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2037 (NV). The NPI Number for ZACHARY ANDERSON (DPM) is 1720464787

Main info

Male
11 Years Of Experience
Name
ZACHARY ANDERSON (DPM)
NPI
1720464787
Phone
(702) 250-0058
Address
1041 W JORDAN WALK WAY APT 106
Enumeration Date
31 July 2015
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028781400
Graduation Year
2015 (11 years ago)
PAC ID
5597001982
Group Practice PAC ID
7911102389
Professional Enrollment ID
I20190618003820
Address ID
NV891461231LA1416XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

198 PODIATRY in UT

Provider Addresses for ZACHARY ANDERSON (DPM)

  • 1041 W JORDAN WALK WAY APT 106

    MIDVALE, UT 840474739

    Phone: (702) 250-0058

    Type: Location

  • 1416 S JONES BLVD

    LAS VEGAS, NV 891461231

    Phone: (702) 878-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2023-08-08 • Largest payer in this snapshot: Bioventus LLC ($28).

Total Amount

$64

General + Research + Ownership

Payments

3

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-08

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: 2019-06-18

PECOS data refreshed: 2026-06-15

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
I20190618003820IPodiatryNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes758270$0
11721Removal of fingernails or toenails, 6 or more nails494195$0
11056Removal of noncancer thickened skin growth, 2-4 growths14782$0
11042Removal of skin and tissue, 20.0 sq cm or less14049$0
99214Established patient office or other outpatient visit, 30-39 minutes12779$0
View full utilization report →

Insurance plans in this area (ZIP 84047)

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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: 7911102389View full group profile
NameSpecialtyState
P O D I A T R YUT
P O D I A T R YNV

Reviews

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Frequently asked questions

How do payers reference ZACHARY ANDERSON (DPM)?
For ZACHARY ANDERSON (DPM), use NPI 1720464787 as the unique 10-digit identifier.
Is ZACHARY ANDERSON (DPM) shown as active in public data?
Registry records indicate ZACHARY ANDERSON (DPM) maintains an active NPI.
What expertise is attributed to ZACHARY ANDERSON (DPM)?
ZACHARY ANDERSON (DPM)'s specialty line reads Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Utah is ZACHARY ANDERSON (DPM) registered?
Use Midvale, Utah as the headline location for ZACHARY ANDERSON (DPM) here.
Does ZACHARY ANDERSON (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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