DR. DAVID M ANDERSON DDS, MD
NPI 1619061546
Dentist - Oral and Maxillofacial Surgery in Appleton, WI

Active since October 03, 2006PECOS Enrolled
4660 W COLLEGE AVE, APPLETON, WI 54913(920) 730-0345 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David M Anderson Dds, Md NPPES

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

DR. DAVID M ANDERSON DDS, MD (NPI 1619061546) is an individual oral and maxillofacial surgery provider in Appleton, Wisconsin, licensed in Wisconsin (1002515) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619061546
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DAVID M ANDERSONCredential: DDS, MD
Location Address4660 W COLLEGE AVEAppleton, WI 54913-8507
Mailing Address3327 N Casaloma Dr Unit 198Appleton, WI 54913-7963 · (608) 751-9915
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 24, 2021
NPPES CertifiedNovember 1, 2021
NPI 1619061546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in WI · 1002515 Licensed in UT · 315501-9924
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 315501-1205 (UT)
4660 W COLLEGE AVE, Appleton, WI 54913

Other Identifiers 1

Other870679577UT · Tax-id

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 (PECOS)

Dr. David M Anderson Dds, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

Dentist (Orthodontics and Dentofacial Orthopedics)
4660 W COLLEGE AVE
APPLETON, WI 54913
Dentist (General Practice)
4660 W COLLEGE AVE
APPLETON, WI 54913
Dentist (General Practice)
4660 W COLLEGE AVE
APPLETON, WI 54913
Dentist (General Practice)
4660 W COLLEGE AVE
APPLETON, WI 54913
Dentist (General Practice)
4660 W COLLEGE AVE
APPLETON, WI 54913
Dentist (Prosthodontics)
4660 W COLLEGE AVE
APPLETON, WI 54913
Dentist (General Practice)
4660 W COLLEGE AVE
APPLETON, WI 54913
Dentist (General Practice)
4660 W COLLEGE AVE
APPLETON, WI 54913

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 David Anderson's NPI number?

The NPI number for David Anderson is 1619061546. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is David Anderson located?

David Anderson practices at 4660 W College Ave, Appleton, WI 54913. The listed phone number is (920) 730-0345.

What is David Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Anderson enrolled in Medicare?

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

What insurance does David Anderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and HRI Dental & Vision and 2 other insurers list David 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 David Anderson was last updated on November 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.