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GARY LEE ANDERSON D.O.
NPI 1629081112
Internal Medicine in Kane, PA

Active since August 14, 2006PECOS Enrolled
101 WALNUT ST, KANE, PA 16735(814) 975-1033(814) 975-1036 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2019, Aug 21, 2019 (2 updates tracked since 2019).

About Gary Lee Anderson D.o. NPPES

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

GARY LEE ANDERSON D.O. (NPI 1629081112) is an individual internal medicine provider in Kane, Pennsylvania, licensed in Pennsylvania (OS007179L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629081112
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGARY LEE ANDERSONCredential: D.O.
Location Address101 WALNUT STKane, PA 16735-1277
Mailing Address101 Walnut StKane, PA 16735-1277 · (814) 975-1033 · Fax (814) 975-1036
Phone(814) 975-1033
Fax(814) 975-1036
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 14, 20192 updates tracked since enumeration
✔ NPI 1629081112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS007179L
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

101 WALNUT ST, Kane, PA 16735
Open in Google Maps ↗

Other Identifiers 1

Medicaid0014607020003PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Lee Anderson D.o. 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 16735 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 2

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
2 suppliers13 claims13 services$16.43 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 suppliers13 claims13 services$99.67 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.

LARRY SARGINGER M.D.
Family Medicine
101 WALNUT ST
KANE, PA 16735
McKean County (814) 975-1033

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 Gary Anderson's NPI number?

The NPI number for Gary Anderson is 1629081112. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Gary Anderson located?

Gary Anderson practices at 101 Walnut St, Kane, PA 16735. The listed phone number is (814) 975-1033.

What is Gary Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gary Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gary Anderson was last updated on November 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.