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Shane Keith Anderson, D.O.

NPI 1841289659ActiveIndividual· Internal Medicine· Malad City, ID

Internal Medicine (D.O.) in Malad City, Idaho, licensed in MT and MO, with an NPI issued in October 2005. In 2024 Medicare paid $10,240 for 60 patients, and Part D covered 77 of their prescriptions, 88% of them generic.

Overview

NPI1841289659
StatusActive
Entity typeIndividual
CredentialD.O.
Sole proprietorYes
NPI issuedOct 14, 2005
Last updated in NPPESMay 24, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X11818MT
Internal Medicine207R00000X2004001424MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients60
Services billed127 across 14 procedure codes
Paid by Medicare$10,240

Part D prescriptions in 2024

Prescriptions (claims)77 · 81 30-day fills
Patients37
Total drug cost$4,480
Generic share88% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records