PETER J ANDERSON (MD) – Orthopaedic Surgery Physician, NPI 1548245848
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
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Provider Addresses for PETER J ANDERSON (MD)
South State RT 159, Glen Carbon, Madison County, Illinois, 62034, United States
GLEN CARBON, IL 620341904
Phone: (618) 288-4388
Fax: (618) 288-4927
Type: Mailing
6810 STATE ROUTE 162
BOX 215
MARYVILLE, IL 62062
Phone: (618) 391-6495
Type: Mailing
4804 S STATE ROUTE 159 STE 10
GLEN CARBON, IL 620341904
Phone: (618) 391-5080
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $304.
Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.
Last reported payment date: 2023-09-18 • Largest payer in this snapshot: Stryker Corporation ($270).
Total Amount
$304
General + Research + Ownership
Payments
5
Total payment records
General Amount
$304
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $270 |
| Heron Therapeutics, Inc. | $18 |
| DePuy Synthes Sales Inc. | $16 |
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: 2004-11-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041108000385 | I | Orthopedic Surgery | IL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 511 | 135 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 169 | 117 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 158 | 123 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 82 | $0 |
| 73562 | X-ray of knee, 3 views | 63 | 60 | $0 |
Insurance plans in this area (ZIP 62034)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| General Surgery | IL | |
| - | IL | |
| Family Practice | MO | |
| Family Practice | IL |
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