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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAYLOR K ANDERSON D.O.
NPI 1962104133
Family Medicine in Idaho Falls, ID

Active since March 20, 2023PECOS Enrolled
3302 VALENCIA DR STE 201, IDAHO FALLS, ID 83404(208) 524-9400(208) 524-9401 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Dec 29, 2025, Mar 20, 2023 (3 updates tracked since 2023).

About Taylor K Anderson D.o. NPPES

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

TAYLOR K ANDERSON D.O. (NPI 1962104133) is an individual family medicine provider in Idaho Falls, Idaho, licensed in Idaho (7071689) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962104133
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTAYLOR K ANDERSONCredential: D.O.
Location Address3302 VALENCIA DR STE 201Idaho Falls, ID 83404-7070
Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 785-4100 · Fax (208) 782-2984
Phone(208) 524-9400
Fax(208) 524-9401
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1962104133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · 7071689
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3302 VALENCIA DR STE 201, Idaho Falls, ID 83404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor K Anderson D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 2

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

BMH, INC.
Family Medicine (Sports Medicine)
3302 VALENCIA DR STE 201
IDAHO FALLS, ID 83404
Bonneville County (208) 524-9400
MELANIE WOOD MD
Anesthesiology (Pain Medicine)
3302 VALENCIA DR STE 201
IDAHO FALLS, ID 83404
Bonneville County (203) 499-7998

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 Taylor Anderson's NPI number?

The NPI number for Taylor Anderson is 1962104133. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Taylor Anderson located?

Taylor Anderson practices at 3302 Valencia Dr Ste 201, Idaho Falls, ID 83404. The listed phone number is (208) 524-9400.

What is Taylor Anderson's specialty?

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

Is Taylor Anderson enrolled in Medicare?

Yes. Taylor Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Anderson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.