DR. ANDREW R ANDERSON (OD) – Optometrist, NPI 1104854942
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
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Provider Addresses for DR. ANDREW R ANDERSON (OD)
East Day Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States
100
MISHAWAKA, IN 465453408
Phone: (574) 271-3939
Fax: (574) 271-3941
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 $1,220.
Total Amount is formed as General ($1,220) + Research ($0) + Ownership ($0) = $1,220.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($292).
Total Amount
$1,220
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $292 |
| Horizon Therapeutics plc | $191 |
| BIOTISSUE HOLDINGS INC. | $150 |
| Sight Sciences, Inc. | $146 |
| Mallinckrodt Hospital Products Inc. | $137 |
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: 2006-12-19
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 |
|---|---|---|---|---|
| I20061219000559 | I | Optometry | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 192 | 120 | $0 |
| 92014 | Established patient complete exam of visual system | 138 | 137 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 73 | $0 |
| 92133 | Imaging of optic nerve | 56 | 51 | $0 |
| 92083 | Exam of visual field with extended testing | 51 | 49 | $0 |
Insurance plans in this area (ZIP 46545)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN |
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