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DEVONA R ANDERSON MD
NPI 1770564825
Family Medicine in Kokomo, IN

Active since November 07, 2005Opted out of Medicare · through Jan 1, 2027
1542 S DIXON RD STE B, KOKOMO, IN 46902(765) 416-1612(313) 789-1822 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Devona R Anderson Md NPPES

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

DEVONA R ANDERSON MD (NPI 1770564825) is an individual family medicine provider in Kokomo, Indiana, licensed in Indiana (01061169A) and active in the NPI registry since November 2005. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770564825
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEVONA R ANDERSONCredential: MD
Location Address1542 S DIXON RD STE BKokomo, IN 46902-7319
Mailing Address1412 N Delphos StKokomo, IN 46901-2565 · (765) 416-1612 · Fax (313) 789-1822
Phone(765) 416-1612
Fax(313) 789-1822
Sole ProprietorYes
Enumeration DateNovember 7, 2005
Last NPPES UpdateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1770564825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01061169A
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.
1542 S DIXON RD STE B, Kokomo, IN 46902
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Other Identifiers 2

Other11517013Caqh
Medicaid200530410IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Devona R Anderson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Devona Anderson's NPI number?

The NPI number for Devona Anderson is 1770564825. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Devona Anderson located?

Devona Anderson practices at 1542 S Dixon Rd Ste B, Kokomo, IN 46902. The listed phone number is (765) 416-1612.

What is Devona Anderson's specialty?

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

Is Devona Anderson enrolled in Medicare?

No. Devona Anderson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Devona Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Devona 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 Devona Anderson was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.