JERRY ROSS II TANNER (D.O.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1962580480

JERRY ROSS II TANNER (D.O.) is a healthcare provider. based in Anchorage, Alaska. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5561 (AK). The NPI Number for JERRY ROSS II TANNER (D.O.) is 1962580480

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
JERRY ROSS II TANNER (D.O.)
NPI
1962580480
Phone
(907) 274-7847
Address
2841 DEBARR RD STE 43
Enumeration Date
1 November 2006
Last Update Date
26 November 2012

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9072358101
Graduation Year
1991 (35 years ago)
PAC ID
8224020045
Group Practice PAC ID
5395636930
Professional Enrollment ID
I20081023000349
Address ID
AK996037005HO4300XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

234 INTERNAL MEDICINE in AK

Provider Addresses for JERRY ROSS II TANNER (D.O.)

  • 2841 DEBARR RD STE 43

    ANCHORAGE, AK 995082967

    Phone: (907) 274-7847

    Fax: (907) 274-7845

    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 33 Open Payments records for all available years, with a total value of $1,826.

Total Amount is formed as General ($1,826) + Research ($0) + Ownership ($0) = $1,826.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($1,298).

Total Amount

$1,826

General + Research + Ownership

Payments

33

Total payment records

General Amount

$1,826

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081023000349IInternal MedicineAKTBD
I20220106002886IInternal MedicineCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99508)

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Provider's Procedures

JERRY ROSS II TANNER (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAK83036Hemoglobin A1C level273162

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: 5395636930View full group profile
NameSpecialtyState
Internal MedicineAK
Family PracticeNC
Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YAK
Nurse PractitionerAK
-AK
Cardiovascular Disease (Cardiology)AK
Family Practice, HospitalistMT
Cardiovascular Disease (Cardiology), Internal MedicineAK
Family PracticeAK

Reviews

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Frequently asked questions

Does JERRY ROSS II TANNER (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JERRY ROSS II TANNER (D.O.) uses 1962580480.
Does CMS list JERRY ROSS II TANNER (D.O.) as active?
Yes — JERRY ROSS II TANNER (D.O.) is active in the NPI listing used on this page.
What healthcare role does JERRY ROSS II TANNER (D.O.) hold?
Scheduling teams often label JERRY ROSS II TANNER (D.O.) under Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where is JERRY ROSS II TANNER (D.O.) based?
JERRY ROSS II TANNER (D.O.) is tied to Anchorage, Alaska in the data we show; additional addresses may exist on the full record.
Is the information about JERRY ROSS II TANNER (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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