DR. MICKEY DALE ANDERSON MD
NPI 1497728323
Surgery in Bardstown, KY

Active since February 10, 2006PECOS Enrolled
118 PATRIOT DR, SUITE 203, BARDSTOWN, KY 40004(502) 348-5588(502) 348-1046 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2019, May 10, 2017 (2 updates tracked since 2017).

About Dr. Mickey Dale Anderson Md NPPES

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

DR. MICKEY DALE ANDERSON MD (NPI 1497728323) is an individual surgery provider in Bardstown, Kentucky, licensed in Kentucky (20844) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497728323
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICKEY DALE ANDERSONCredential: MD
Location Address118 PATRIOT DR, SUITE 203Bardstown, KY 40004-9093
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7840 · Fax (606) 330-7825
Fax(502) 348-1046
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateMay 6, 20192 updates tracked since enumeration
NPI 1497728323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in KY · 20844
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
118 PATRIOT DR, Bardstown, KY 40004

Other Identifiers 1

Medicaid64208440KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mickey Dale Anderson Md 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.

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services81 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services49 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
48 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40004 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.

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.

Durable Medical Equipment & Medical Supplies
118 PATRIOT DR
BARDSTOWN, KY 40004
Surgery
118 PATRIOT DR
BARDSTOWN, KY 40004
Internal Medicine (Cardiovascular Disease)
118 PATRIOT DR, SUITE 103
BARDSTOWN, KY 40004
Surgery
118 PATRIOT DR, STE 203
BARDSTOWN, KY 40004

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 Mickey Anderson's NPI number?

The NPI number for Mickey Anderson is 1497728323. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Mickey Anderson located?

Mickey Anderson practices at 118 Patriot Dr Suite 203, Bardstown, KY 40004. The listed phone number is (502) 348-5588.

What is Mickey Anderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mickey Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mickey Anderson was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.