Individual provider Active NPI

Drew Munson Anderson, M.D.

  • Dermatology Physician
  • Muncie, IN
National Provider Identifier
1609832377
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01042754A Issued in IN
Practice address
401 W McGalliard Rd
Muncie, IN 47303-1828
Phone
(765) 288-6200
Fax
(765) 288-4131
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01042754A IN Primary

Addresses

Primary practice location

401 W McGalliard Rd
Muncie, IN 47303-1828

Mailing address

401 W McGalliard Rd
Muncie, IN 47303-1828
Phone (765) 288-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000941 IN Practitioner - DermatologyPractitioner - Other (Physician) 0941341960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Skin Care Centers, LLC 6 clinicians

Practice addresses (Care Compare)

401 W McGalliard Rd
Muncie, IN 47303-1828
Phone (765) 288-6200

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030
  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320

Merit-based Incentive Payment System (MIPS)

Final score
96.15 of 100Reported as group
Quality
92.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision105
Removal of tissue1-10
Removal of skin lesions3704
Removal or shaving of skin growth215
Skin biopsy1377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01042754AINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Skin Care Centers, LLC Dermatology CurrentSince Jul 1, 2001 Accepting new patients
Houston Hospitals Inc Past Accepting new patients

Locations

401 W McGalliard Rd
Muncie, IN 47303
Phone (765) 288-6200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1609832377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MCGALLIARD RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031828",
            "telephone_number": "765-288-6200",
            "fax_number": "765-288-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MCGALLIARD RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031828",
            "telephone_number": "765-288-6200",
            "fax_number": "765-288-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DREW",
        "middle_name": "MUNSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01042754A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.