DR. MATTHEW H ANDERSEN (MD) – Anesthesiology Physician, NPI 1114169307
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MATTHEW H ANDERSEN (MD)
4630 E INDIAN SCHOOL RD
PHOENIX, AZ 850185416
Phone: (028) 996-4446
Type: Mailing
Broadway, Elmhurst, Queens, New York, 11373, United States
SUITE E2-69
ELMHURST, NY 113731329
Phone: (718) 334-2880
Fax: (718) 334-2399
Type: Mailing
645 E MISSOURI AVE STE 300
PHOENIX, AZ 850121351
Phone: (602) 262-8917
Fax: (602) 262-8890
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $345.
Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($207).
Total Amount
$345
General + Research + Ownership
Payments
8
Total payment records
General Amount
$345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $207 |
| MERZ NORTH AMERICA, INC. | $92 |
| ABBVIE INC. | $46 |
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: 2019-11-07
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191107002262 | I | Anesthesiology | AZ | TBD |
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.
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 85018)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Anesthesiology, Pain Management | AZ | |
| A N E S T H E S I O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | OH | |
| - | AZ | |
| - | AZ | |
| - | AZ |
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