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

Q: 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.

Q: What is Daniel Anderson's specialty?

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

Q: 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.

Active since April 19, 2006PECOS Enrolled

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: October 25, 2026.

On this page

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.

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

Phone(828) 322-1128

Fax(828) 327-9631

Sole ProprietorYes

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

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Other Identifiers 1

Medicaid8911093NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Daniel Edward Anderson Md 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.

Medicare Billing Reassignments

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

Dlp Frye Medical Group LLC

Same address

Orthopaedic Surgery

1771 TATE BLVD SE STE 101
Hickory, NC 28602

Reassigned Medicare billing, North Carolina enrollment
228 clinicians in this Medicare group

NPI 1780358176 (828) 815-5110

Wake Forest University Health Sciences

61 mi

Multi-Specialty

1303 GREENSBORO STREET EXT
Lexington, NC 27295

Reassigned Medicare billing, North Carolina enrollment
3,003 clinicians in this Medicare group

NPI 1639454499 (336) 716-2255

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 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

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

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers52 claims133 services$35.55 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers33 claims177 services$19.88 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers16 claims93 services$15.57 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers58 claims58 services$55.55 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers64 claims64 services$18.43 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers70 claims70 services$14.93 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers92 claims484 services$2.29 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers50 claims50 services$12.54 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers184 claims186 services$16.41 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers22 claims25 services$44.26 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers16 claims16 services$909.16 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers14 claims14 services$77.68 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers63 claims69 services$12.68 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

7 suppliers86 claims93 services$5.61 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

7 suppliers117 claims117 services$34.85 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

10 suppliers505 claims513 services$85.79 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers162 claims169 services$32.48 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

4 suppliers40 claims2,190 services$4.54 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims780 services$6.70 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

10 suppliers48 claims6,730 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

10 suppliers107 claims12,964 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

12 suppliers119 claims7,824 services$0.79 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers13 claims952 services$0.16 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers21 claims21 services$32.73 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

19 suppliers201 claims201 services$24.56 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.

CATAWBA VALLEY INTERNAL MEDICINE PA

Internal Medicine

1771 TATE BLVD SE, SUITE 103
HICKORY, NC 28602

Catawba County (828) 322-1128

UNIFOUR SURGICAL ASSOICATES, PA

Surgery

1771 TATE BLVD SE, SUITE 101
HICKORY, NC 28602

Catawba County (828) 322-9105

HICKORY CARDIOLOGY ASSOCIATES PLLC

Internal Medicine (Cardiovascular Disease)

1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602

Catawba County (828) 324-4804

CATAWBA VALLEY INTERNAL MEDICINE

Psychiatry & Neurology (Psychiatry)

1771 TATE BLVD SE, STE 103
HICKORY, NC 28602

Catawba County (828) 322-1128

DR. THOMAS MICHAEL WILEY M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602

Catawba County (828) 324-4804

PROFESSIONAL SLEEP DIAGNOSTICS

Clinic/Center (Sleep Disorder Diagnostic)

1771 TATE BLVD SE, SUITE #102
HICKORY, NC 28602

Catawba County (828) 485-2955

DLP CARDIOLOGY PHYSICIANS LLC

Internal Medicine (Cardiovascular Disease)

1771 TATE BLVD SE, STE 201
HICKORY, NC 28602

Catawba County (615) 920-7000

DR. SANJAY KUMAR PATEL M.D.

Internal Medicine (Cardiovascular Disease)

1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602

Catawba County (828) 324-4804

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 enrollment system.

Which organizations bill Medicare for Daniel Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Anderson reassigns Medicare benefits to 2 organizations: Dlp Frye Medical Group LLC (Hickory, NC) and Wake Forest University Health Sciences (Lexington, NC). 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 Daniel Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Anderson accept?

Health plans from AmeriHealth Caritas Next 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.

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.