DANIELLE MARIE ANDERSON M.D.
NPI 1164956397
Family Medicine in Lexington, KY

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
245 FOUNTAIN CT, STE 225, LEXINGTON, KY 40509(859) 323-6021(859) 323-1670 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2021, Jun 10, 2021, Sep 10, 2020 and 2 more (5 updates tracked since 2017).

About Danielle Marie Anderson M.d. NPPES

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

DANIELLE MARIE ANDERSON M.D. (NPI 1164956397) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (52880) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1164956397
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANIELLE MARIE ANDERSONCredential: M.D.
Location Address245 FOUNTAIN CT, STE 225Lexington, KY 40509
Mailing Address24 Fountain Court, Suite 225Lexington, KY 40509 · (859) 323-6021 · Fax (859) 323-1670
Fax(859) 323-1670
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2016
Enumeration DateApril 14, 2017
Last NPPES UpdateJune 28, 20215 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1164956397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 52880
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.

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 52880 (KY)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 52880 (KY)
245 FOUNTAIN CT, Lexington, KY 40509

Secondary Practice Location 1

Location 124 Fountain Court, Suite 225Lexington, KY 40509 · Phone (859) 323-6021 · Fax (859) 323-1670

Other Identifiers 1

Medicaid7100547440KY

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

Danielle Marie 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 ID9739580176
PECOS Enrollment IDI20210623001956
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.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Counselor (Professional)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Psychologist (Clinical)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 FOUNTAIN CT, SUITE 225
LEXINGTON, KY 40509
Pharmacy (Community/Retail Pharmacy)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 FOUNTAIN CT, SUITE 225
LEXINGTON, KY 40509

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 Danielle Anderson's NPI number?

The NPI number for Danielle Anderson is 1164956397. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Danielle Anderson located?

Danielle Anderson practices at 245 Fountain Ct Ste 225, Lexington, KY 40509. The listed phone number is (859) 323-6021.

What is Danielle Anderson's specialty?

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

Is Danielle Anderson enrolled in Medicare?

Yes. Danielle 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 Danielle Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Danielle 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 Danielle Anderson affiliated with any hospitals?

According to CMS data, Danielle Anderson is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Anderson was last updated on June 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.