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DR. SHAWN MICHAEL ANDERSON M.D.
NPI 1598725111
Family Medicine in Grove, OK

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
700 S MAIN ST, GROVE, OK 74344(918) 786-2243(918) 787-3643 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shawn Michael Anderson M.d. NPPES

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

DR. SHAWN MICHAEL ANDERSON M.D. (NPI 1598725111) is an individual family medicine provider in Grove, Oklahoma, licensed in Oklahoma (22018) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1598725111
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAWN MICHAEL ANDERSONCredential: M.D.
Location Address700 S MAIN STGrove, OK 74344-2841
Mailing Address700 S Main StGrove, OK 74344-2841 · (918) 787-4200 · Fax (918) 787-4299
Phone(918) 786-2243
Fax(918) 787-3643
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 27, 2006
Last NPPES UpdateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1598725111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OK · 22018✔ Licensed in AR · E-14312
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 ListedEmergency MedicineTaxonomy 207P00000X · License 22018 (OK)
700 S MAIN ST, Grove, OK 74344
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11341 W 6th StWaldron, AR 72958-7642 · Phone (479) 314-6241 · Fax (479) 452-0275
Location 2801 W River StOzark, AR 72949-3023 · Phone (479) 667-4138 · Fax (479) 667-0834
Location 3500 E Academy StParis, AR 72855-4040 · Phone (479) 963-6101 · Fax (479) 963-6155
Location 4880 W Main StBooneville, AR 72927-3443 · Phone (479) 675-2800

Other Identifiers 4

Medicaid100114040AOK
Medicaid200264400AOK
Medicaid207446204MO
Medicaid200059690AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Dr. Shawn Michael 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 ID7517989106
PECOS Enrollment IDI20221109003311
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

8

Medicare enrollment records show Shawn Anderson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Ozark
72 mi
Critical Access
801 W RIVER ST
Ozark, AR 72949
  • Reassigned Medicare billing, Arkansas enrollment
  • 112 clinicians in this Medicare group
NPI 1275504128 (479) 314-6100
Mercy Hospital Booneville
86 mi
Rural Health
128 DANIEL AVENUE
Booneville, AR 72927
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1992133714 (Arkansas)
  • 146 clinicians in this Medicare group
NPI 1427486794 (479) 675-2800
Mercy Hospital Paris
86 mi
Rural Health
303 S 5TH ST
Paris, AR 72855
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1760453633 (Arkansas)
  • 159 clinicians in this Medicare group
NPI 1881106243 (479) 963-2132
Mercy Hospital Waldron
87 mi
Rural Health
100 N WALNUT AVE STE A
Mansfield, AR 72944
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1912978875 (Arkansas)
  • 137 clinicians in this Medicare group
NPI 1295774917 (479) 928-4404
Baxter Health Fulton County Hospital
161 mi
Critical Access
679 N MAIN ST
Salem, AR 72576
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1841038825 (Arkansas)
  • 14 clinicians in this Medicare group
NPI 1376391177 (870) 895-2691
Arkansas Emergency Staffing Solutions, Inc
191 mi
Emergency Medicine
2001 S MAIN ST
Hope, AR 71801
  • Reassigned Medicare billing, Arkansas enrollment
  • 323 clinicians in this Medicare group
NPI 1275774630 (870) 777-2323
Ess Of Fordyce LLC
213 mi
Emergency Medicine
201 N CLIFTON ST
Fordyce, AR 71742
  • Reassigned Medicare billing, Arkansas enrollment
  • 125 clinicians in this Medicare group
NPI 1821547977 (870) 352-6300
Hospital Care Consultants Of Fordyce LLC
213 mi
Hospitalist
201 N CLIFTON ST
Fordyce, AR 71742
  • Reassigned Medicare billing, Arkansas enrollment
  • 121 clinicians in this Medicare group
NPI 1316497464 (870) 352-6300

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 74344 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$8.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$113.27 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

RAPID REMEDY URGENT CARE CENTER PLLC
Clinic/Center (Urgent Care)
700 S MAIN ST
GROVE, OK 74344
Delaware County (918) 787-4200

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 Shawn Anderson's NPI number?

The NPI number for Shawn Anderson is 1598725111. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Shawn Anderson located?

Shawn Anderson practices at 700 S Main St, Grove, OK 74344. The listed phone number is (918) 786-2243.

What is Shawn Anderson's specialty?

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

Is Shawn Anderson enrolled in Medicare?

Yes. Shawn 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 Shawn Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Anderson reassigns Medicare benefits to 8 organizations: Mercy Hospital Ozark (Ozark, AR), Mercy Hospital Booneville (Booneville, AR), Mercy Hospital Paris (Paris, AR), Mercy Hospital Waldron (Mansfield, AR), Baxter Health Fulton County Hospital (Salem, AR) and 3 more organizations, listed in the Medicare section above. 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 Shawn Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Anderson accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shawn 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 Shawn Anderson was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.