Anderson Foot Clinic – Foot & Ankle Surgery Podiatrist, NPI 1982667366

Anderson Foot Clinic is a healthcare provider. based in Rolla, Missouri. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for Anderson Foot Clinic is 1982667366

Main info

Organization
Name
Anderson Foot Clinic
NPI
1982667366
Phone
(573) 341-2971
Address
PO BOX 130
Authorized Official
KARA WATSON PRACTICE MANAGER
Enumeration Date
7 April 2006
Last Update Date
12 September 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Anderson Foot Clinic

  • PO BOX 130

    ROLLA, MO 654020130

    Phone: (573) 341-2971

    Fax: (573) 341-8174

    Type: Mailing

  • 1210, Homelife Plaza, The Forum Commercial, Rolla, Phelps County, Missouri, 65401, United States

    ROLLA, MO 654012512

    Phone: (573) 341-2971

    Fax: (573) 341-8174

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1046 days ago).

Enrollment records

2

Earliest due date

2023-07-31

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
O20040925000018OClinic/Group PracticeMO2024-02-29
O20100930030554OPhysician - General PracticeMO2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 65402)

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Reviews

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Frequently asked questions

Does Anderson Foot Clinic share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Anderson Foot Clinic uses 1982667366.
Is Anderson Foot Clinic still practicing?
Anderson Foot Clinic is currently listed as active in the public NPI registry.
What is Anderson Foot Clinic's specialty?
The listing groups Anderson Foot Clinic with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where is Anderson Foot Clinic based?
Anderson Foot Clinic is tied to Rolla, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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1210 HOMELIFE PLZ
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