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DR. DOUGLAS KEN ANDERSEN DO
NPI 1730599598
Internal Medicine in Pocatello, ID

Active since May 02, 2014PECOS EnrolledAccepts Medicare Assignment
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-1720(208) 239-1726 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2022, Jul 31, 2018, Jul 18, 2017 (3 updates tracked since 2017).

About Dr. Douglas Ken Andersen Do NPPES

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

DR. DOUGLAS KEN ANDERSEN DO (NPI 1730599598) is an individual internal medicine provider in Pocatello, Idaho, licensed in Oklahoma (6352) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1730599598
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DOUGLAS KEN ANDERSENCredential: DO
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing Address10109 E. 79th StreetTulsa, OK 74133 · (918) 286-5000 · Fax (918) 249-7514
Phone(208) 239-1720
Fax(208) 239-1726
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2014
Enumeration DateMay 2, 2014
Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1730599598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 6352
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.
777 HOSPITAL WAY, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.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. Douglas Ken Andersen Do 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 ID8426327560
PECOS Enrollment IDI20200807001646
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

3

Medicare enrollment records show Douglas Andersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pocatello Health Services, LLC
Same address
General Acute Care Hospital
777 HOSPITAL WAY
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 190 clinicians in this Medicare group
NPI 1215165485 (208) 239-2065
Caribou Medical Center, Inc
44 mi
Critical Access
300 S 3RD W
Soda Springs, ID 83276
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1548930878 (Idaho)
  • 44 clinicians in this Medicare group
NPI 1942970272 (208) 547-3341
Oneida County Hospital
48 mi
Critical Access
150 N 200 W
Malad, ID 83252
  • Reassigned Medicare billing, Idaho enrollment
  • 31 clinicians in this Medicare group
NPI 1609826270 (208) 766-2231

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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
307 services193 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
275 services124 patients
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.
58 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Nell J Redfield Memorial Hospital

Critical Access Hospitals · Malad, ID
OwnershipGovernment - Local
CMS Certification Number131303
Location150 North 200 WestMalad, ID 83252 · Oneida County
Emergency services

Power County Hospital District

Critical Access Hospitals · American Falls, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131304
Location510 Roosevelt StreetAmerican Falls, ID 83211 · Power County
Emergency services

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID
OwnershipGovernment - Local
CMS Certification Number131309
Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County
Emergency services

Bear Lake Memorial Hospital

Critical Access Hospitals · Montpelier, ID
OwnershipGovernment - Local
CMS Certification Number131316
Location164 South Fifth StreetMontpelier, ID 83254 · Bear Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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
1 supplier31 claims31 services$21.32 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
1 supplier32 claims32 services$88.79 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 20

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

JESS LUFKIN CRNA
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 716-7215
ROGER A COOK MD
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
JASON MONTGOMERY NP-C
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-2580
ALYSSA M WOODBURY PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1226
SHANNON ALISON WEBB PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
DR. ROBERT MICHAEL KENNEDY M.D.
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Bannock County (208) 239-2722
MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 227-2600
BRICE ANDERSON MSAT, LAT, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 242-8650

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 Douglas Andersen's NPI number?

The NPI number for Douglas Andersen is 1730599598. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Douglas Andersen located?

Douglas Andersen practices at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-1720.

What is Douglas Andersen's specialty?

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

Is Douglas Andersen enrolled in Medicare?

Yes. Douglas Andersen 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 Douglas Andersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Andersen reassigns Medicare benefits to 3 organizations: Pocatello Health Services, LLC (Pocatello, ID), Caribou Medical Center, Inc (Soda Springs, ID) and Oneida County Hospital (Malad, ID). 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 Douglas Andersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Andersen accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Douglas Andersen 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.

Is Douglas Andersen affiliated with any hospitals?

According to CMS data, Douglas Andersen is affiliated with Portneuf Medical Center, Nell J Redfield Memorial Hospital, Power County Hospital District, Caribou Medical Center and Bear Lake Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Andersen was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.