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Deactivated NPI 1609852797 Deactivated / Inactive NPI Male Practitioner

Dr. Dan Gordon Anderson , MD

Plastic Surgery • Modesto, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dan Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2005
NPI Deactivation Date February 01, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Dan Anderson, MD was a registered Plastic Surgery practicing in Modesto, CA. Throughout an active medical career spanning 18 years, Dr. Anderson provided care at the practice location at 1130 COFFEE RD until profile deactivation on 2023-02-01.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, biopsy of single growth of skin and/or tissue. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1130 Coffee Rd
Suite 5 B

Modesto, CA 953554228

Telephone 2095392710
Fax 2095277549
Associated Practice Facility / Clinic
🏢 Recto F. Deleon, M.d. Inc. Facility NPI 1508075482

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Modesto, CA (941 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99201 New patient office or other outpatient visit, typically 10 minutes
11 11 $82.00 $43.79

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA 00A202230

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Martha Gomez , DDS

Dentist - General Practice

NPI 1013080902

Doctor of Dental Surgery

NPI 1295970796

Certified Orthotist

Dr. Denice Starley , DO

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1568509081

Doctor of Osteopathic Medicine (D.O.)

Dr. Ramneek Batth , DMD

Dentist - Endodontics

NPI 1619463312

Doctor of Dental Medicine

Dr. Ricky Brar , DDS

Dentist - General Practice

NPI 1639337660

Doctor of Dental Surgery

Dr. Vikram Brar , DDS, MSD

Dentist - Endodontics

NPI 1760663413

Doctor of Dental Surgery, MSD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 01, 2023

Record deactivated on February 01, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1130 COFFEE RD, SUITE 5 B, MODESTO, CA 953554228 (Tel: 2095392710)

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Updated Business Mailing Address July 08, 2007

Registered at 1130 COFFEE RD, SUITE 5 B, MODESTO, CA 953554228 (Tel: 2095392710)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAN ANDERSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #00A202230 in CA)

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Initial NPI Registration & Enumeration December 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609852797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2005
Last Update: July 08, 2007
Deactivation Date: February 01, 2023

Mailing Address

1130 Coffee Rd, Suite 5 B

Modesto, CA 953554228

Phone: 2095392710

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.