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DANIEL MATTHEW ANDERSON DO
NPI 1104112705
Internal Medicine in Powell, TN

Active since June 22, 2011PECOS Enrolled
603 E EMORY RD STE 105, POWELL, TN 37849(865) 859-7377(865) 859-7378 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2020, Aug 18, 2020, Mar 23, 2016 (3 updates tracked since 2016).

About Daniel Matthew Anderson Do NPPES

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

DANIEL MATTHEW ANDERSON DO (NPI 1104112705) is an individual internal medicine provider in Powell, Tennessee, licensed in Tennessee (2996) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104112705
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDANIEL MATTHEW ANDERSONCredential: DO
Location Address603 E EMORY RD STE 105Powell, TN 37849-3567
Mailing Address603 E Emory Rd Ste 105Powell, TN 37849-3567 · (865) 859-7377 · Fax (865) 859-7378
Phone(865) 859-7377
Fax(865) 859-7378
Sole ProprietorNo
Enumeration DateJune 22, 2011
Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
✔ NPI 1104112705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 2996
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
603 E EMORY RD STE 105, Powell, TN 37849
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Other Identifiers 1

MedicaidQ020506TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Matthew Anderson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Covenant Medical Group, Inc.
12 mi
Family Medicine
1420 CENTERPOINT BLVD
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 504 clinicians in this Medicare group
NPI 1457302010 (865) 374-5200
Arh Mary Breckinridge Health Services, Inc.
41 mi
Rural Health
3504 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 97 clinicians in this Medicare group
NPI 1962908277 (606) 248-0737

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37849 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

MS. REBECCA ANNE BROWN APRN, BC
Nurse Practitioner
603 E EMORY RD STE 105
POWELL, TN 37849
Knox County (865) 859-7350
JEANNINE GREBE NP
Nurse Practitioner (Women's Health)
603 E EMORY RD STE 105
POWELL, TN 37849
Knox County (865) 859-7350

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 Daniel Anderson's NPI number?

The NPI number for Daniel Anderson is 1104112705. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Daniel Anderson located?

Daniel Anderson practices at 603 E Emory Rd Ste 105, Powell, TN 37849. The listed phone number is (865) 859-7377.

What is Daniel Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniel Anderson enrolled in Medicare?

Yes. Daniel Anderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Anderson reassigns Medicare benefits to 2 organizations: Covenant Medical Group, Inc. (Knoxville, TN) and Arh Mary Breckinridge Health Services, Inc. (Middlesboro, KY). 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 Daniel Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Anderson was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.