David Anderson, MD, PHARMD
Individual provider Active NPI Ophthalmology Physician · Fargo, ND
NPI 1912328014 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1912328014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 22480 (ND)
- Practice address
- 1717 University Dr S
Fargo, ND 58103-4939 - Phone
- (701) 461-5100
- NPI assigned
- Dec 17, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of North Dakota School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
1711 University Dr S
Fargo, ND 58103-4939
Phone (701) 417-5710
1717 University Dr S
Fargo, ND 58103-4939
Phone (701) 234-2000
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Essentia Health
- Hennepin County Medical Center
- Altru Hospital
- Essentia Health St Marys - Detroit Lakes
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, ND
- 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 |
|---|---|---|---|---|
| I20230921001696 | MN | Practitioner - Ophthalmology | 7113340977 | Reassigns benefits to 1 organization |
| I20250924002053 | ND | Practitioner - Ophthalmology | 7113340977 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL15730 | ND | MD | Internal Medicine Physician |
| 22480 | ND | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Internal Medicine | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Vitreoretinal Surgery PLLC | Ophthalmology | Current |
Accepting new patients |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175
1717 University Dr S
Fargo, ND 58103
Phone (701) 234-2305
5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Interoperability endpoints
- danderson@vrssurgery.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 73503 | MN | |
| Internal Medicine Physician | 207R00000X | RL15730 | ND | |
| Ophthalmology Physician | 207W00000X | 22480 | ND | Yes |
Addresses
Primary practice location
1717 University Dr S
Fargo, ND 58103-4939
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
3601 W 76th St Ste 300
Edina, MN 55435-6215
Phone (952) 929-1131
Other providers in Fargo, ND
- Bridget L Anderson
- Brittany Sue Anderson
- Carlee P Anderson
- Carol Ann Anderson
- Christopher E Anderson
- Derek Anderson
- Donal M Anderson
- Edith Anderson
- Elizabeth Anderson
- Elizabeth Renae Anderson
All providers in Fargo, ND · Ophthalmology Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. 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.