DR. RICHARD ANDERSON (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1699703892
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
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Provider Addresses for DR. RICHARD ANDERSON (M.D.)
1001, Main Street, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61606, United States
3RD FLOOR
PEORIA, IL 616062037
Phone: (309) 495-0200
Fax: (309) 676-6545
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 15 Open Payments records for all available years, with a total value of $3,094.
Total Amount is formed as General ($3,094) + Research ($0) + Ownership ($0) = $3,094.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($2,171).
Total Amount
$3,094
General + Research + Ownership
Payments
15
Total payment records
General Amount
$3,094
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $2,171 |
| Ethicon US, LLC | $363 |
| Intuitive Surgical, Inc. | $344 |
| Medtronic, Inc. | $113 |
| Zimmer Biomet Holdings, Inc. | $51 |
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: 2005-06-10
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 |
|---|---|---|---|---|
| I20050610000201 | I | General 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 14 | $0 |
| 32674 | Removal of lymph nodes of chest cavity using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 61606)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | IL | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | TN | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physician Assistant | MO | |
| - | IL |
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