DR. ANDREW JACKSON SELLERS (MD) – Diagnostic Radiology Physician, NPI 1073584900

DR. ANDREW JACKSON SELLERS (MD) is a healthcare provider. based in Beverly hills, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 209761 (MA). The NPI Number for DR. ANDREW JACKSON SELLERS (MD) is 1073584900

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW JACKSON SELLERS (MD)
NPI
1073584900
Phone
(855) 687-7237
Address
4473 N SADDLE DR
Enumeration Date
30 January 2006
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5402245272
Graduation Year
1999 (27 years ago)
PAC ID
6901026384
Group Practice PAC ID
9830096585
Professional Enrollment ID
I20250410001534
Address ID
FL344654855BE4473XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness85
Years active:20State licenses:5Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for DR. ANDREW JACKSON SELLERS (MD)

  • 4473 N SADDLE DR

    BEVERLY HILLS, FL 344654855

    Phone: (855) 687-7237

    Type: Location

  • 620 JOHN PAUL JONES CIR

    PORTSMOUTH, VA 237082111

    Phone: (757) 669-2454

    Type: Location

  • 2751 DeBarr Rd Ste 360

    Anchorage, AK 995086809

    Phone: (907) 792-7920

    Fax: (907) 792-7921

    Type: Location

  • 7211 Wellington Dr Ste 101

    Knoxville, TN 379195968

    Phone: (865) 588-8005

    Fax: (865) 588-7716

    Type: Location

  • 13813 Metro Pkwy

    Fort Myers, FL 339124343

    Phone: (855) 674-4624

    Fax: (941) 883-8386

    Type: Location

  • 4040 E CAMELBACK RD STE 250

    PHOENIX, AZ 850188350

    Phone:

    Type: Mailing

  • 819, Montebello Circle, Pines of Warrick, Chesapeake, Virginia, 23322, United States

    CHESAPEAKE, VA 233227245

    Phone: (757) 548-6466

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20180713000812IDiagnostic RadiologyVATBD
I20220923002215IDiagnostic RadiologyCTTBD
I20241111001077IDiagnostic RadiologyTXTBD
I20250410001534IDiagnostic RadiologyFLTBD
I20260227000350IDiagnostic RadiologyTNTBD
I20260311003326IDiagnostic RadiologyNCTBD

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
71045X-ray of chest, 1 view251248$0
70450Ct scan head or brain without contrast227224$0
74177Ct scan of abdomen and pelvis with contrast9696$0
71275Ct scan of blood vessels of chest with contrast8888$0
72125Ct scan of upper spine without contrast8786$0
View full utilization report →

Insurance plans in this area (ZIP 34465)

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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: 9830096585View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ANDREW JACKSON SELLERS (MD)'s NPI?
Yes. DR. ANDREW JACKSON SELLERS (MD) is listed with NPI 1073584900 in the public NPI dataset.
Is DR. ANDREW JACKSON SELLERS (MD) still practicing?
DR. ANDREW JACKSON SELLERS (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. ANDREW JACKSON SELLERS (MD) hold?
Scheduling teams often label DR. ANDREW JACKSON SELLERS (MD) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. ANDREW JACKSON SELLERS (MD) serve?
DR. ANDREW JACKSON SELLERS (MD)'s listing highlights Beverly Hills, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.