MR. REAGAN B ANDERSON (D.O.) – Dermatology Physician, NPI 1356334965

MR. REAGAN B ANDERSON (D.O.) is a healthcare provider. based in Colorado springs, Colorado. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. DR.0048132 (CO). The NPI Number for MR. REAGAN B ANDERSON (D.O.) is 1356334965

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. REAGAN B ANDERSON (D.O.)
NPI
1356334965
Phone
(719) 531-5400
Address
8580 SCARBOROUGH DR
Enumeration Date
30 August 2005
Last Update Date
3 September 2020

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
7195315400
Graduation Year
2002 (24 years ago)
PAC ID
5294866117
Group Practice PAC ID
4385775204
Professional Enrollment ID
I20100707000372
Address ID
CO809063548CO1220XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

364 DERMATOLOGY in CO

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Provider Addresses for MR. REAGAN B ANDERSON (D.O.)

  • Scarborough Drive, Fairfax, Colorado Springs, El Paso County, Colorado, 80923, United States

    SUITE 225

    COLORADO SPRINGS, CO 809207586

    Phone: (719) 531-5400

    Fax: (719) 531-9545

    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 4 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($68).

Total Amount

$93

General + Research + Ownership

Payments

4

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

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: 2010-07-07

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
I20100707000372IDermatologyCOTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,581795$0
17003Destruction of precancer skin growth, 2-14 growths1,522174$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks533355$0
99213Established patient office or other outpatient visit, 20-29 minutes491330$0
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm368276$0
View full utilization report →

Insurance plans in this area (ZIP 80920)

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Provider's Procedures

MR. REAGAN B ANDERSON (D.O.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCO11101Biopsy of each additional growth of skin and/or tissue318202
DERMATOLOGYCO13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet141118
DERMATOLOGYCO17003Destruction of 2-14 skin growths7124902
DERMATOLOGYCO88304Pathology examination of tissue using a microscope, moderately low complexity1614

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: 4385775204View full group profile
NameSpecialtyState
Physician AssistantCO
Physician AssistantCO
Physician AssistantTX
Physician AssistantCO
Nurse PractitionerCO
Physician AssistantCO
-CO
Physician AssistantNY
Physician AssistantCO
D E R M A T O L O G YTX

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Frequently asked questions

What is the standard ID for MR. REAGAN B ANDERSON (D.O.) in the U.S.?
In the U.S., MR. REAGAN B ANDERSON (D.O.) is identified by NPI 1356334965.
Is MR. REAGAN B ANDERSON (D.O.)'s NPI status active today?
Active status means MR. REAGAN B ANDERSON (D.O.)'s NPI record is not deactivated in the public file.
What services align with MR. REAGAN B ANDERSON (D.O.)'s listing?
MR. REAGAN B ANDERSON (D.O.)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MR. REAGAN B ANDERSON (D.O.) in Colorado Springs, Colorado?
For routing, start with Colorado Springs, Colorado for MR. REAGAN B ANDERSON (D.O.), then verify phone and hours locally.
Why is information missing for MR. REAGAN B ANDERSON (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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