Matthew Lee Anderson, MD
Individual provider Active NPI Family Medicine Physician · Crosby, MN
NPI 1073598421 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1073598421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 47166 (MN)
- Practice address
- 320 E Main St
Central Lakes Medical Clinic PA
Crosby, MN 56441-1645 - Phone
- (218) 546-7000
- Fax
- (218) 545-4456
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cuyuna Regional Medical Center
Practice addresses (Care Compare)
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
Hospital & facility affiliations
- Vivie Home Health
- Cuyuna Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050708000529 | MN | Practitioner - Family Practice | 4981640927 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuyuna Regional Medical Center | Family Medicine | Current | Accepting new patients |
| Center for Psychiatric Care | Past |
Accepting new patients |
Locations
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
Interoperability endpoints
- mandersonmd273254@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 47166 | MN | Yes |
Addresses
Primary practice location
320 E Main St
Central Lakes Medical Clinic PA
Crosby, MN 56441-1645
Mailing address
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153479300 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mandersonmd273254@excellian.direct.allina.com | Direct | Cuyuna Regional Medical Center |
| Direct Messaging Address | mandersonmd273254@excellian.direct.allina.com | Direct |
Other providers in Crosby, MN
- Advanced Integrative Medicine
- Adam Ahlquist
- Nowa E Ajayi
- Destiny Brianne Amundson
- Maridel De Ocampo Anderson
- Angelina G Ausban
- Rose M Bankers
- Michael James Beckmann
- John T Berquist
- Rachelle Marie Beseman
All providers in Crosby, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.