DUSTIN WILLIAM ANDERSON
NPI 1821640517
Optometrist in Fenton, MO

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
1011 BOWLES AVE STE 200, FENTON, MO 63026(636) 717-1700(636) 203-4727 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2024, Sep 11, 2024, Jul 16, 2019 and 1 more (4 updates tracked since 2019).

About Dustin William Anderson NPPES

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

DUSTIN WILLIAM ANDERSON (NPI 1821640517) is an individual optometrist in Fenton, Missouri, licensed in Missouri (2019021861) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2019).

NPPES Registry Identity

NPI1821640517
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDUSTIN WILLIAM ANDERSON
Location Address1011 BOWLES AVE STE 200Fenton, MO 63026-2384
Mailing AddressPo Box 207158Dallas, TX 75320-7158 · (636) 200-4393
Fax(636) 203-4727
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2019
Enumeration DateJuly 12, 2019
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1821640517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · 2019021861
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1011 BOWLES AVE STE 200, Fenton, MO 63026

Accepted 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

Dustin William Anderson 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 ID3476889544
PECOS Enrollment IDI20190726001140
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

2

Medicare enrollment records show Dustin Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
1011 BOWLES AVE, SUITE 200
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
Optometrist
912 MERAMEC STATION RD
Valley Park, MO 63088
  • Reassigned Medicare billing, Missouri enrollment
  • 124 clinicians in this Medicare group

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

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 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.
32 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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

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

Ophthalmology
1011 BOWLES AVE STE 200
FENTON, MO 63026

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 Dustin Anderson's NPI number?

The NPI number for Dustin Anderson is 1821640517. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Dustin Anderson located?

Dustin Anderson practices at 1011 Bowles Ave Ste 200, Fenton, MO 63026. The listed phone number is (636) 717-1700.

What is Dustin Anderson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dustin Anderson enrolled in Medicare?

Yes. Dustin 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 Dustin Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Anderson reassigns Medicare benefits to 2 organizations: Envision Eye Specialists PC (Fenton, MO) and Clarkson Optometry Inc (Valley Park, MO). 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 Dustin Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Dustin 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 Dustin Anderson was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.