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DOUGLAS S. ANDERSON M.D.
NPI 1063444990
Family Medicine in Overland Park, KS

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
10787 NALL AVE, SUITE 310, OVERLAND PARK, KS 66211(913) 945-6900(913) 945-6970 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas S. Anderson M.d. NPPES

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

DOUGLAS S. ANDERSON M.D. (NPI 1063444990) is an individual family medicine provider in Overland Park, Kansas, licensed in Kansas (0422138) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1063444990
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS S. ANDERSONCredential: M.D.
Location Address10787 NALL AVE, SUITE 310Overland Park, KS 66211-1375
Mailing Address10787 Nall Ave, Suite 310Overland Park, KS 66211-1375 · (913) 945-6900 · Fax (913) 945-6970
Phone(913) 945-6900
Fax(913) 945-6970
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 7, 2006
Last NPPES UpdateFebruary 6, 2014
✔ NPI 1063444990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 0422138
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10787 NALL AVE, Overland Park, KS 66211
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Other Identifiers 5

Medicare ID-Type UnspecifiedG395868KS
Medicare PINJ61A00051KS
Medicare UPINC50986
Medicare ID-Type UnspecifiedJ77B868KS
Medicaid100114280DKS

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

Douglas S. Anderson M.d. 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 ID3274552674
PECOS Enrollment IDI20051115000665, I20260212003928
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 Reassignment

Medicare enrollment records show Douglas Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kansas University Physicians Inc
8.7 mi
Internal Medicine
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Also billed through NPI 1053457978 (Missouri)
  • 2,139 clinicians in this Medicare group
NPI 1003858333 (913) 588-2527

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
178 services160 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
162 services162 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66211 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

DR. PAUL G DIEDERICH M.D.
Internal Medicine
10787 NALL AVE, STE. 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
GRETCHEN P POLAND ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
KATHRYN TIMM ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
CELINA C BERNABE DO
Allergy & Immunology
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
JAYHAWK PRIMARY CARE INC
Internal Medicine
10787 NALL AVE, STE 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
DUSTIN P BAKER APRN, FNP-C
Nurse Practitioner (Family)
10787 NALL AVE
OVERLAND PARK, KS 66211
Johnson County (913) 588-0000
DR. MICHAEL GREEN D.C
Chiropractor
10787 NALL AVE, SUITE 110
OVERLAND PARK, KS 66211
Johnson County (913) 667-2829
SOUTHWIND ANESTHESIA SERVICES, P.A.
Anesthesiology
10787 NALL AVE, SUITE 100
OVERLAND PARK, KS 66211
Johnson County (913) 312-3710

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 Douglas Anderson's NPI number?

The NPI number for Douglas Anderson is 1063444990. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Douglas Anderson located?

Douglas Anderson practices at 10787 Nall Ave Suite 310, Overland Park, KS 66211. The listed phone number is (913) 945-6900.

What is Douglas Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Anderson enrolled in Medicare?

Yes. Douglas 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 organization bills Medicare for Douglas Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Anderson reassigns Medicare benefits to Kansas University Physicians Inc (Kansas City, KS). The 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 Douglas Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Douglas Anderson affiliated with any hospitals?

According to CMS data, Douglas Anderson is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Anderson was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.