DR. JOHN ERICK ANDERSON (D.O.) – Internal Medicine Physician, NPI 1174937072
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
988 DIAGNOSTIC RADIOLOGY in AZ
Provider Addresses for DR. JOHN ERICK ANDERSON (D.O.)
1653 W CONGRESS PKWY
CHICAGO, IL 606123833
Phone: (312) 942-5000
Type: Mailing
350 W THOMAS RD
PHOENIX, AZ 850134409
Phone: (602) 406-4786
Type: Location
4250 Hospital Dr
Marianna, FL 324461917
Phone: (850) 526-2200
Fax: (850) 718-2844
Type: Location
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 801123895
Phone: (303) 761-9190
Fax: (720) 874-4462
Type: Location
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: 2025-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20200317002646 | I | Diagnostic Radiology | AZ | TBD |
| I20210622001077 | I | Diagnostic Radiology | CO | TBD |
| I20220623000108 | I | Diagnostic Radiology | HI | TBD |
| I20241122003850 | I | Diagnostic Radiology | NC | TBD |
| I20250102001877 | I | Diagnostic Radiology | TX | TBD |
| I20250212002860 | I | Diagnostic Radiology | ND | TBD |
| I20250605002191 | I | Diagnostic Radiology | AL | TBD |
| I20250618003136 | I | Diagnostic Radiology | TN | TBD |
| I20250724001414 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 1,805 | 23 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,335 | 15 | $0 |
| A9576 | Injection, gadoteridol, (prohance multipack), per ml | 1,241 | 78 | $0 |
| 70450 | Ct scan head or brain without contrast | 834 | 808 | $0 |
| 72125 | Ct scan of upper spine without contrast | 339 | 335 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | TN | |
| - | TN |
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