Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLEN M ANDERSON DPM
NPI 1104928464
Podiatrist in Dover Foxcroft, ME

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
188 SUMMER ST, DOVER FOXCROFT, ME 04426(207) 538-3700(207) 528-2880 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ellen M Anderson Dpm NPPES

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

ELLEN M ANDERSON DPM (NPI 1104928464) is an individual podiatrist in Dover Foxcroft, Maine, licensed in Maine (POD155) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (1980).

NPPES Registry Identity

NPI1104928464
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameELLEN M ANDERSONCredential: DPM
Location Address188 SUMMER STDover Foxcroft, ME 04426-1129
Mailing Address529 S Patten RdPatten, ME 04765-3007 · (207) 538-3700 · Fax (207) 528-2880
Fax(207) 528-2880
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1980
Enumeration DateSeptember 5, 2006
Last NPPES UpdateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1104928464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in ME · POD155
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
188 SUMMER ST, Dover Foxcroft, ME 04426

Other Identifiers 1

Medicaid112960000ME

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

Ellen M 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 ID7911938972
PECOS Enrollment IDI20050830000151
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 Ellen Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
188 SUMMER ST
Dover Foxcroft, ME 04426
  • Reassigned Medicare billing, Maine enrollment
  • 81 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
29 CHURCH ST
Dexter, ME 04930
  • Reassigned Medicare billing, Maine enrollment
  • 16 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04426 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
69%426 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%62 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%347 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
84%361 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Physician Assistant
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Dental Hygienist
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Nurse's Aide
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426

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 Ellen Anderson's NPI number?

The NPI number for Ellen Anderson is 1104928464. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Ellen Anderson located?

Ellen Anderson practices at 188 Summer St, Dover Foxcroft, ME 04426. The listed phone number is (207) 538-3700.

What is Ellen Anderson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Ellen Anderson enrolled in Medicare?

Yes. Ellen 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 Ellen Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Anderson reassigns Medicare benefits to 2 organizations: Katahdin Valley Health Center (Dover Foxcroft, ME) and Sebasticook Family Doctors (Dexter, ME). 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 Ellen Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Ellen 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 Ellen Anderson was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.