DR. RYAN K ANDERSON DPM
NPI 1053334730
Podiatrist - Foot & Ankle Surgery in Bountiful, UT

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.77/100
CMS Quality Rating
596 W 750 S, SUITE 200, BOUNTIFUL, UT 84010(801) 292-4425(801) 397-1938 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ryan K Anderson Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN K ANDERSON DPM (NPI 1053334730) is an individual foot & ankle surgery provider in Bountiful, Utah, licensed in Utah (282785-0501) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1053334730
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. RYAN K ANDERSONCredential: DPM
Location Address596 W 750 S, SUITE 200Bountiful, UT 84010-7268
Mailing Address596 W 750 S, Suite 200Bountiful, UT 84010-7268 · (801) 292-4425 · Fax (801) 397-1938
Fax(801) 397-1938
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 28, 2016
✔ NPI 1053334730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in UT · 282785-0501
Also ListedSpecialist/Technologist, PathologyTaxonomy 246Q00000X · License 46D2116123 (UT)
596 W 750 S, Bountiful, UT 84010

Other Identifiers 3

Medicare PIN005738401UT
Medicare PINP00066583UT
Medicare UPINU91268UT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan K Anderson Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426080037
PECOS Enrollment IDI20100122000699
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ryan Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foot & Ankle Surgery
596 W 750 S STE 200
Bountiful, UT 84010
  • Reassigned Medicare billing, Utah enrollment
  • 38 clinicians in this Medicare group
Podiatrist
1060 CHAMBERS ST.
Eugene, OR 97402
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.79
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
596 W 750 S, STE 300
BOUNTIFUL, UT 84010
Licensed Practical Nurse
596 W 750 S
WOODS CROSS, UT 84010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Anderson's NPI number?

The NPI number for Ryan Anderson is 1053334730. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Ryan Anderson located?

Ryan Anderson practices at 596 W 750 S Suite 200, Bountiful, UT 84010. The listed phone number is (801) 292-4425.

What is Ryan Anderson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ryan Anderson enrolled in Medicare?

Yes. Ryan Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ryan Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Anderson reassigns Medicare benefits to 2 organizations: Ryan K Anderson D P M P C (Bountiful, UT) and Eugene Podiatry Associates PC (Eugene, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Anderson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Ryan Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Anderson was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.