KEITH RICHARD ANDERSON D.P.M.
NPI 1902185051
Podiatrist - Foot & Ankle Surgery in Hayward, WI

Q: What is Keith Anderson's NPI number?

The NPI number for Keith Anderson is 1902185051. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Q: What is Keith Anderson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Keith Anderson was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 08, 2011PECOS EnrolledAccepts Medicare Assignment

89.68/100

CMS Quality Rating

11040 N STATE ROAD 77, HAYWARD, WI 54843(715) 934-4321 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2021, Nov 4, 2020, Aug 25, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Keith Richard Anderson D.p.m. NPPES

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

KEITH RICHARD ANDERSON D.P.M. (NPI 1902185051) is an individual foot & ankle surgery provider in Hayward, Wisconsin, licensed in Wisconsin (1017-25) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Tamarack Health Hayward Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1902185051

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameKEITH RICHARD ANDERSONCredential: D.P.M.

Location Address11040 N STATE ROAD 77Hayward, WI 54843-3606

Mailing Address11040 N State Road 77Hayward, WI 54843-3606 · (715) 934-4321

Phone(715) 934-4321

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 8, 2011

Last NPPES UpdateMay 18, 20215 updates tracked since enumeration

NPPES CertifiedMay 18, 2021

✔ NPI 1902185051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in WI · 1017-25✔ Licensed in MN · 850

Also ListedPodiatristTaxonomy 213E00000X · License 850 (MN), 1017-25 (WI)

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 850 (MN), 1017-25 (WI)

11040 N STATE ROAD 77, Hayward, WI 54843

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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

Keith Richard Anderson D.p.m. 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 ID3274707252

PECOS Enrollment IDI20130510000047

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.

Hospital Affiliations CMS Care Compare 2

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

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521336

Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County

Emergency services

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521359

Location1615 Maple LaneAshland, WI 54806 · Ashland County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.23

Promoting Interoperability

100

Improvement Activities

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers12 claims24 services$56.38 avg. paid by Medicare

For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514

DME-Orthotic Devices · category DF000N

2 suppliers11 claims60 services$37.22 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.

ASHLAND AUDIOLOGY LLC

Clinic/Center