NPPES file of Aug 9, 2026

Danielle Marie Anderson, M.D.

Family Medicine Physician · Lexington, KY

Danielle Marie Anderson, M.D. is a family medicine physician with a practice address in Lexington, Kentucky, and NPI 1164956397, issued on Apr 14, 2017. Check the license (Kentucky 52880, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164956397
Name
Danielle Marie Anderson
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
52880 KY
Self-reported in NPPES; status is on the state search
Practice location
245 Fountain CT, Lexington, KY 40509
Phone
(859) 323-6021
Enumerated
Apr 14, 2017
Record last updated
Jun 28, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(859) 323-1670
Medicaid ID
7100547440 KY
Medicare enrollment
Enrolled (PECOS I20210623001956); accepts Medicare assignment
Medical or professional school
University Of South Carolina School Of Medicine, 2016
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 245 Fountain CT

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sandra Batsel-Thomas, MDChild & Adolescent Psychiatry Physician1275606394
  2. Amit Bhakhri, M.D.Psychiatry Physician1962847830
  3. Jacob Bishop, MDPsychiatry Physician1013324136
  4. Mya Bowen, PH.D.Clinical Psychologist1679402465
  5. Adam Clark, MDPsychiatry Physician1053016139
  6. Angela Combs, MSClinical Psychologist1700282845

Verify Danielle Marie Anderson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 52880
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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90% fewer Medicare Part D claims than the average family medicine physician in 2024

367 Medicare Part D claims for 39 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims.

  1. Danielle Anderson367
  2. Specialty average3,544

Most prescribed

  1. Buprenorphine-Naloxone86 claims
  2. Gabapentin22 claims
  3. Naltrexone Hcl22 claims
  4. Diazepam18 claims
  5. Bupropion Hcl17 claims
  6. Topiramate15 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Kentucky Medical Services Foundation, IncLexington, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Danielle Marie Anderson among 1,968 family medicine physician records in Kentucky

Danielle Marie Anderson, M.D. is one of 1,968 family medicine physician records with a practice address in Kentucky. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 81% of them.

  • NPI issued2017 · 81% of these records are older, 16% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2016 · median 2006 among the 1,277 with a school on file
  • Record last updated2021 · 57% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

177 family medicine physician records list a practice address in Lexington

They are 177 of the 14,031 NPPES records with a practice address in Lexington, and 1,968 family medicine physician records in Kentucky.

The 8 family medicine physician records with the nearest ZIP codes

  1. Keith Applegate, M.D.Lexington, KY 405091245235795
  2. Brian Brown, M.D.Lexington, KY 405091629074802
  3. Patricia Buker, M.D.Lexington, KY 405091922004993
  4. Amy Coleman, M.D.Lexington, KY 405091710971775
  5. David Dubocq, M.D.Lexington, KY 405091932104403
  6. William Foxx, M.D.Lexington, KY 405091801891353
  7. Joseph Gerhardstein, M.D.Lexington, KY 405091790780286
  8. Mary Henkel, M.D.Lexington, KY 405091699770156

Common questions

What is Danielle Marie Anderson, M.D.'s NPI number?

Danielle Marie Anderson, M.D.'s National Provider Identifier (NPI) is 1164956397, issued on Apr 14, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Danielle Marie Anderson, M.D. located?

The NPPES record lists a practice address at 245 Fountain CT, Lexington, KY, 40509. Phone: (859) 323-6021. Providers update this record themselves, so call before visiting.

How can I verify Danielle Marie Anderson, M.D.'s license?

NPPES lists Kentucky license number 52880, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Danielle Marie Anderson, M.D. prescribe under Medicare Part D?

In 2024, Danielle Marie Anderson, M.D. had 367 Medicare Part D claims for 39 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Danielle Marie Anderson, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.