DR. MARK M ANDERSON (M.D.) – Gastroenterology Physician, NPI 1538132170

DR. MARK M ANDERSON (M.D.) is a healthcare provider. based in Montgomery, Alabama. specializing in Gastroenterology Physician. They hold the professional credentials M.D.. They hold a License No. 14012 (AL). The NPI Number for DR. MARK M ANDERSON (M.D.) is 1538132170

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK M ANDERSON (M.D.)
NPI
1538132170
Phone
(334) 495-2600
Address
4126 CARMICHAEL CT
Enumeration Date
13 February 2006
Last Update Date
15 March 2011

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3344952600
Graduation Year
1983 (43 years ago)
PAC ID
1850382482
Group Practice PAC ID
6800887530
Professional Enrollment ID
I20040526001504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK M ANDERSON (M.D.)

  • 4126, Carmichael Court, Rosemary, Montgomery, Montgomery County, Alabama, 36106, United States

    MONTGOMERY, AL 361062871

    Phone: (334) 495-2600

    Fax: (334) 495-2604

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Janssen Biotech, Inc. ($87).

Total Amount

$319

General + Research + Ownership

Payments

18

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040526001504IGastroenterologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery8787$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5454$0
45378Diagnostic exam of large bowel using a flexible endoscope4141$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3231$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2915$0
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Insurance plans in this area (ZIP 36106)

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Provider's Procedures

DR. MARK M ANDERSON (M.D.) performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYAL45385Removal of polyps or growths of large bowel using an endoscope3232

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800887530View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MARK M ANDERSON (M.D.)?
DR. MARK M ANDERSON (M.D.) — NPI 1538132170 — is the standard way to identify this listing.
Is DR. MARK M ANDERSON (M.D.) still practicing?
DR. MARK M ANDERSON (M.D.) is currently listed as active in the public NPI registry.
What is DR. MARK M ANDERSON (M.D.)'s specialty?
The listing groups DR. MARK M ANDERSON (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK M ANDERSON (M.D.) on a map?
Expect Montgomery, Alabama as a primary anchor for DR. MARK M ANDERSON (M.D.) unless the record lists multiple sites.
Why does DR. MARK M ANDERSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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