TRAVIS ANDERSON MD
NPI 1417442880
Family Medicine in Bismarck, ND

Q: What is Travis Anderson's NPI number?

The NPI number for Travis Anderson is 1417442880. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Q: What is Travis Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Travis Anderson was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 27, 2018PECOS EnrolledAccepts Medicare Assignment

701 E ROSSER AVE, BISMARCK, ND 58501(701) 751-9500(701) 751-9508 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Travis Anderson Md NPPES

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

TRAVIS ANDERSON MD (NPI 1417442880) is an individual family medicine provider in Bismarck, North Dakota, licensed in North Dakota (RL15202) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Och Regional Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2018).

NPPES Registry Identity

NPI1417442880

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTRAVIS ANDERSONCredential: MD

Location Address701 E ROSSER AVEBismarck, ND 58501-4461

Mailing Address701 E Rosser AveBismarck, ND 58501-4461 · (701) 751-9500 · Fax (701) 751-9508

Phone(701) 751-9500

Fax(701) 751-9508

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2018

Enumeration DateJune 27, 2018

✔ NPI 1417442880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ND · RL15202

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.

701 E ROSSER AVE, Bismarck, ND 58501

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Other Identifiers 1

Medicaid12083ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Travis Anderson Md 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 ID2264845825

PECOS Enrollment IDI20210708002928

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

Medicare enrollment records show Travis Anderson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pontotoc Health Services, Inc.

1,048 mi

Rural Health

400 DOCTORS DR
New Albany, MS 38652

Reassigned Medicare billing, Mississippi enrollment
Also billed through NPI 1821103516 (Mississippi)
103 clinicians in this Medicare group

NPI 1063813335 (662) 534-5036

Relias Emergency Medicine Specialists Of Tupelo LLC

1,073 mi

Emergency Medicine

830 S GLOSTER ST
Tupelo, MS 38801

Reassigned Medicare billing, Mississippi enrollment
108 clinicians in this Medicare group

NPI 1841664661 (662) 432-4106

Relias Hospitalist Medicine Specialists Of Tupelo LLC

1,073 mi

Hospitalist

830 S GLOSTER ST
Tupelo, MS 38801

Reassigned Medicare billing, Mississippi enrollment
24 clinicians in this Medicare group

NPI 1710622832 (662) 377-3000

Relias Emergency Medicine Specialists Of Amory, LLC

1,096 mi

Emergency Medicine

1105 EARL FRYE BLVD
Amory, MS 38821

Reassigned Medicare billing, Mississippi enrollment
107 clinicians in this Medicare group

NPI 1265074769 (662) 432-4106

Relias Emergency Medicine Specialists Of West Point, LLC

1,111 mi

Emergency Medicine

150 MEDICAL CENTER DR
West Point, MS 39773

Reassigned Medicare billing, Mississippi enrollment
103 clinicians in this Medicare group

NPI 1275172736 (662) 432-4106

Relias Hospitalist Medicine Specialists Of West Point LLC

1,111 mi

Hospitalist

150 MEDICAL CENTER DR
West Point, MS 39773

Reassigned Medicare billing, Mississippi enrollment
53 clinicians in this Medicare group

NPI 1821638578 (662) 432-4106

Rh Emergency Medicine Of Och Regional LLC

1,115 mi

Emergency Medicine

400 HOSPITAL RD
Starkville, MS 39759

Reassigned Medicare billing, Mississippi enrollment
49 clinicians in this Medicare group

NPI 1093532889 (662) 432-4106

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

297 services271 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

191 services155 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

101 services98 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

26 services25 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Och Regional Medical Center

Acute Care Hospitals · Starkville, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250050

Location400 Hospital Road /Mail PO Box 1506Starkville, MS 39759 · Oktibbeha County

Emergency services Birthing friendly

Clay County Medical Corporation

Acute Care Hospitals · West Point, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number250067

Location150 Medical Center DriveWest Point, MS 39773 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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 20

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

MONIKA POTHAMSETTI MD

Family Medicine