WAYNE RALEIGH ANDERSON (MD) – Anesthesiology Physician, NPI 1396890943

WAYNE RALEIGH ANDERSON (MD) is a healthcare provider. based in Mammoth lakes, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. G64580 (CA). The NPI Number for WAYNE RALEIGH ANDERSON (MD) is 1396890943

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
WAYNE RALEIGH ANDERSON (MD)
NPI
1396890943
Phone
(760) 924-4078
Address
85 Sierra Park Rd
Enumeration Date
24 January 2007
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
3234337744
Graduation Year
1987 (39 years ago)
PAC ID
3870681786
Group Practice PAC ID
7810307998
Professional Enrollment ID
I20071109000542
Address ID
CA900363689LO5757XBLVD303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

Provider Addresses for WAYNE RALEIGH ANDERSON (MD)

  • 85 Sierra Park Rd

    Mammoth Lakes, CA 935460660

    Phone: (760) 924-4078

    Fax: (760) 924-4058

    Type: Location

  • PO BOX 660

    85 SIERRA PARK RD

    MAMMOTH LAKES, CA 935460660

    Phone: (760) 924-4078

    Fax: (760) 924-4058

    Type: Mailing

  • Mammoth Hospital, 85, Sierra Park Road, Mammoth Lakes, Mono County, California, 93546, United States

    MAMMOTH LAKES, CA 935460660

    Phone: (760) 924-4078

    Fax: (760) 924-4058

    Type: Location

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: QOL Medical, LLC ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
QOL Medical, LLC$34
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: 2007-11-09

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
I20071109000542IAnesthesiologyCATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3129$0
36620Insertion of artery tube for blood sampling or infusion through skin1919$0
View full utilization report →

Insurance plans in this area (ZIP 93546)

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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: 7810307998View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Anesthesiology, Pain ManagementCA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

Can I verify WAYNE RALEIGH ANDERSON (MD) with an NPI only?
You can start verification with NPI 1396890943 for WAYNE RALEIGH ANDERSON (MD), then check state licensing separately.
Can I rely on WAYNE RALEIGH ANDERSON (MD) being an active provider?
As of the registry snapshot, WAYNE RALEIGH ANDERSON (MD) is marked active.
What is WAYNE RALEIGH ANDERSON (MD)'s primary classification?
Anesthesiology Physician is the headline specialty for WAYNE RALEIGH ANDERSON (MD) here. Clinical services aligned with this taxonomy classification.
Where is WAYNE RALEIGH ANDERSON (MD) based?
WAYNE RALEIGH ANDERSON (MD) is tied to Mammoth Lakes, California in the data we show; additional addresses may exist on the full record.
Why does WAYNE RALEIGH ANDERSON (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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