DAVID MICHAEL ANDERSON II MD
NPI 1962661488
Preventive Medicine - Addiction Medicine in Louisville, KY

Q: What is David Anderson's NPI number?

The NPI number for David Anderson is 1962661488. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Q: What is David Anderson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for David Anderson was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2008PECOS Enrolled

9702 STONESTREET RD STE 120, LOUISVILLE, KY 40272(866) 934-7450 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2024, Jun 5, 2023, Jan 6, 2023 and 6 more (9 updates tracked since 2018).

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About David Michael Anderson Ii Md NPPES

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

DAVID MICHAEL ANDERSON II MD (NPI 1962661488) is an individual addiction medicine provider in Louisville, Kentucky, licensed in Kentucky (46107) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Louisville School Of Medicine (2008).

NPPES Registry Identity

NPI1962661488

Entity TypeIndividualMale

Primary Taxonomy2083A0300X

Provider Legal NameDAVID MICHAEL ANDERSON IICredential: MD

Location Address9702 STONESTREET RD STE 120Louisville, KY 40272-6812

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · Fax (502) 233-4919

Phone(866) 934-7450

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2008

Enumeration DateJune 9, 2008

Last NPPES UpdateApril 12, 20249 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1962661488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

License✔ Licensed in KY · 46107

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 46107 (KY)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 46107 (KY)

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 46107 (KY)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 01072910A (IN)

9702 STONESTREET RD STE 120, Louisville, KY 40272

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Secondary Practice Locations 2

Location 16400 Dutchmans Pkwy Ste 600Louisville, KY 40205-3340 · Phone (812) 477-7246 ext. 6001 · Fax (812) 477-7240

Location 25722 Outer LoopLouisville, KY 40219-4156 · Phone (502) 492-7455 · Fax (502) 921-0222

Other Identifiers 1

Medicaid7100246110KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Michael Anderson Ii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375784895

PECOS Enrollment IDI20130725000969

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

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.

25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40272 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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Other Providers at the Same Location NPPES 15

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

MS. MEGAN RUSSELL LPCC, CADC

Counselor (Professional)