MR. DANIEL EDWARD ANDERSON MD
NPI 1831154244
Internal Medicine - Pulmonary Disease in Hickory, NC

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
1771 TATE BLVD SE, STE 103, HICKORY, NC 28602(828) 322-1128(828) 327-9631 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Daniel Edward Anderson Md NPPES

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

MR. DANIEL EDWARD ANDERSON MD (NPI 1831154244) is an individual pulmonary disease provider in Hickory, North Carolina, licensed in North Carolina (9500806) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1986).

NPPES Registry Identity

NPI1831154244
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. DANIEL EDWARD ANDERSONCredential: MD
Location Address1771 TATE BLVD SE, STE 103Hickory, NC 28602
Mailing Address1771 Tate Blvd Se, Ste 103Hickory, NC 28602 · (828) 322-1128 · Fax (828) 327-9631
Fax(828) 327-9631
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1986
Enumeration DateApril 19, 2006
Last NPPES UpdateMay 23, 2023
NPPES CertifiedMay 23, 2023
NPI 1831154244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NC · 9500806
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1771 TATE BLVD SE, Hickory, NC 28602

Other Identifiers 1

Medicaid8911093NC

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 and accepts Medicare assignment

Mr. Daniel Edward Anderson Md 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 ID6103879556
PECOS Enrollment IDI20050224000996
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.

Areas of Expertise CMS Part B claims 11

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.
254 services174 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.
178 services117 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.
99 services78 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
51 services50 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
37 services36 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
32 services31 patients

Hospital Affiliations CMS Care Compare 3

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers31 claims31 services$37.15 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers40 claims81 services$1.42 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
2 suppliers15 claims30 services$1.00 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers12 claims12 services$12.70 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
4 suppliers12 claims12 services$1.27 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers49 claims49 services$91.70 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 16

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

Internal Medicine
1771 TATE BLVD SE, SUITE 103
HICKORY, NC 28602
Surgery
1771 TATE BLVD SE, SUITE 101
HICKORY, NC 28602
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Psychiatry & Neurology (Psychiatry)
1771 TATE BLVD SE, STE 103
HICKORY, NC 28602
Internal Medicine (Clinical Cardiac Electrophysiology)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Clinic/Center (Sleep Disorder Diagnostic)
1771 TATE BLVD SE, SUITE #102
HICKORY, NC 28602
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, STE 201
HICKORY, NC 28602
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602

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 Daniel Anderson's NPI number?

The NPI number for Daniel Anderson is 1831154244. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Daniel Anderson located?

Daniel Anderson practices at 1771 Tate Blvd SE Ste 103, Hickory, NC 28602. The listed phone number is (828) 322-1128.

What is Daniel Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Daniel Anderson enrolled in Medicare?

Yes. Daniel 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.

What insurance does Daniel Anderson accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Daniel 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.

Is Daniel Anderson affiliated with any hospitals?

According to CMS data, Daniel Anderson is affiliated with North Carolina Baptist Hospital, Frye Regional Medical Center and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Anderson was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.