MR. WAYNE L ANDERSON MD
NPI 1053417840
Surgery in Williston, ND

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
43.47/100
CMS Quality Rating
1213 15TH AVE W, SUITE 200, WILLISTON, ND 58801(701) 572-4003(701) 572-4007 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Wayne L Anderson Md NPPES

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

MR. WAYNE L ANDERSON MD (NPI 1053417840) is an individual surgery provider in Williston, North Dakota, licensed in North Dakota (4768) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health Williston, and is a graduate of University Of North Dakota School Of Medicine (1980).

NPPES Registry Identity

NPI1053417840
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. WAYNE L ANDERSONCredential: MD
Location Address1213 15TH AVE W, SUITE 200Williston, ND 58801
Mailing Address1213 15th Ave W, Suite 200Williston, ND 58801 · (701) 572-4003 · Fax (701) 572-4007
Fax(701) 572-4007
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1980
Enumeration DateSeptember 16, 2006
Last NPPES UpdateOctober 24, 2012
NPI 1053417840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in ND · 4768
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1213 15TH AVE W, Williston, ND 58801

Other Identifiers 5

Medicare UPINF37097
Other20537ND · Blue Cross
Medicare ID-Type UnspecifiedN20537ND
Medicaid0040157MT
Medicaid17987ND

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Wayne L Anderson Md 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 ID345267167
PECOS Enrollment IDI20051031000502
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351334
Location1301 15th Ave WWilliston, ND 58801 · Williams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

43.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.09
Improvement Activities30
Cost15.58

Other Providers at the Same Location NPPES 20

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

Technician/Technologist (Optician)
1213 15TH AVE W
WILLISTON, ND 58801
Nurse Practitioner (Family)
1213 15TH AVE W
WILLISTON, ND 58801
Obstetrics & Gynecology
1213 15TH AVE W
WILLISTON, ND 58801
Family Medicine
1213 15TH AVE W
WILLISTON, ND 58801
Technician/Technologist (Optician)
1213 15TH AVE W
WILLISTON, ND 58801
Family Medicine
1213 15TH AVE W
WILLISTON, ND 58801
Pain Medicine (Pain Medicine)
1213 15TH AVE W
WILLISTON, ND 58801
Technician/Technologist (Optician)
1213 15TH AVE W
WILLISTON, ND 58801

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 Wayne Anderson's NPI number?

The NPI number for Wayne Anderson is 1053417840. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Wayne Anderson located?

Wayne Anderson practices at 1213 15th Ave W Suite 200, Williston, ND 58801. The listed phone number is (701) 572-4003.

What is Wayne Anderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wayne Anderson enrolled in Medicare?

Yes. Wayne 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.

What insurance does Wayne Anderson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Wayne 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.

Is Wayne Anderson affiliated with any hospitals?

According to CMS data, Wayne Anderson is affiliated with Chi St Alexius Health Williston.

When was this NPI record last updated?

The NPPES record for Wayne Anderson was last updated on October 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.