EDWARD ANDERSON DPM
NPI 1366445462
Podiatrist in Henderson, KY

Q: What is Edward Anderson's NPI number?

The NPI number for Edward Anderson is 1366445462. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Edward Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edward Anderson was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment

58.96/100

CMS Quality Rating

411 LETCHER ST, HENDERSON, KY 42420(270) 830-6522 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2016, Aug 29, 2016, Mar 22, 2016 (3 updates tracked since 2016).

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About Edward Anderson Dpm NPPES

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

EDWARD ANDERSON DPM (NPI 1366445462) is an individual podiatrist in Henderson, Kentucky, licensed in Kentucky (0197) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1366445462

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameEDWARD ANDERSONCredential: DPM

Location Address411 LETCHER STHenderson, KY 42420-4245

Mailing AddressPo Box 1593Henderson, KY 42419-1593 · (270) 830-6522

Phone(270) 830-6522

Sole ProprietorYes

Medical School CMSOtherGraduated 1989

Enumeration DateMay 23, 2005

Last NPPES UpdateApril 7, 20173 updates tracked since enumeration

✔ NPI 1366445462 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 KY · 0197

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.

411 LETCHER ST, Henderson, KY 42420

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Other Identifiers 8

Medicaid100381580AIN

Medicare PINM69211038IN

Medicare PININ3186001IN

Medicaid80001977KY

Medicare PIN0719801KY

Medicare PINK219810KY

Other480034923KY · Railroad Medicare

OtherP00733506IN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Edward 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 ID9133312861

PECOS Enrollment IDI20101026000674, I20111216000330

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.

Areas of Expertise CMS Part B claims 17

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

1,064 services453 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

321 services167 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

247 services128 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

234 services122 patients

Trimming of dystrophic nails, any number G0127

192 services93 patients

Removal of fingernails or toenails, 1-5 nails 11720

190 services96 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

175 services124 patients

Removal of fingernails or toenails, 6 or more nails 11721

160 services82 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

67 services39 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

53 services50 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

51 services51 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

24 services20 patients

Removal of noncancer thickened skin growth, 1 growth 11055

22 services16 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

21 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services15 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

17 services14 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42420 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

58.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.94

Promoting Interoperability

Improvement Activities

Cost

45.25

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Other Providers at the Same Location NPPES 4

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

METHODIST HEALTH, INC.

Family Medicine

411 LETCHER ST
HENDERSON, KY 42420

Henderson County (270) 831-7950

DEACONESS CLINIC, INC

Family Medicine

411 LETCHER ST
HENDERSON, KY 42420

Henderson County (270) 831-7950

MR. LOGAN SCOTT VANSICKLE APRN

Nurse Practitioner (Family)

411 LETCHER ST
HENDERSON, KY 42420

Henderson County (270) 831-7950

TRI-STATE PODIATRIC MEDICAL SERVICES PSC

Podiatrist

411 LETCHER ST
HENDERSON, KY 42420

Henderson County (270) 830-6522

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 Edward Anderson's NPI number?

The NPI number for Edward Anderson is 1366445462. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Edward Anderson located?

Edward Anderson practices at 411 Letcher St, Henderson, KY 42420. The listed phone number is (270) 830-6522.

What is Edward Anderson's specialty?

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

Is Edward Anderson enrolled in Medicare?

Yes. Edward 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 Edward Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Edward 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 Edward Anderson was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.