KATHY L ANDERSON (D.O.) – Dermatology Physician, NPI 1669423166
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for KATHY L ANDERSON (D.O.)
Druid Road East, Clearwater, Pinellas County, Florida, 33764, United States
CLEARWATER, FL 337563950
Phone: (727) 462-5242
Fax: (727) 462-5350
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 31 Open Payments records for all available years, with a total value of $850.
Total Amount is formed as General ($850) + Research ($0) + Ownership ($0) = $850.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: UCB, Inc. ($174).
Total Amount
$850
General + Research + Ownership
Payments
31
Total payment records
General Amount
$850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $174 |
| Smith+Nephew, Inc. | $143 |
| Lilly USA, LLC | $143 |
| Organogenesis Inc. | $124 |
| ABBVIE INC. | $108 |
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: 2024-12-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060301000594 | I | Dermatology | FL | TBD |
| I20241211004735 | I | Dermatology | ME | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 296 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 205 | 137 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 118 | 93 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 114 | 82 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 99 | 80 | $0 |
Insurance plans in this area (ZIP 33756)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 11101 | Biopsy of each additional growth of skin and/or tissue | 240 | 136 |
| DERMATOLOGY | FL | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 16 | 15 |
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 379 | 67 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ME | |
| D E R M A T O L O G Y | ME | |
| Physician Assistant | ME | |
| Physician Assistant | MA |
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