KATHY J ANDERSON (M.D.) – General Practice Physician, NPI 1285636100

KATHY J ANDERSON (M.D.) is a healthcare provider. based in Fort madison, Iowa. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 22911 (IA). The NPI Number for KATHY J ANDERSON (M.D.) is 1285636100

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
KATHY J ANDERSON (M.D.)
NPI
1285636100
Phone
(319) 376-2134
Address
5409 AVENUE O
Enumeration Date
11 August 2005
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
3197681000
Graduation Year
1979 (47 years ago)
PAC ID
5698819068
Group Practice PAC ID
3870496417
Professional Enrollment ID
I20100223000628
Address ID
IA526551679WE1221XAVEX400

Contacts

Secure Messaging
kathy.anderson@Direct.greatriverhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

33 GENERAL PRACTICE in IA

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Provider Addresses for KATHY J ANDERSON (M.D.)

  • Fort Madison Community Hospital Physician & Professional Offices, 5409, Avenue O, Fort Madison, Lee, Iowa, 52627, United States

    FORT MADISON, IA 526279601

    Phone: (319) 376-2134

    Fax: (319) 376-2188

    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 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2023-10-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($45).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-02-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100223000628IGeneral PracticeIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes544352$0
99214Established patient office or other outpatient visit, 30-39 minutes530427$0
99495Transitional care management services for problem of at least moderate complexity1816$0
View full utilization report →

Insurance plans in this area (ZIP 52627)

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Provider's Procedures

KATHY J ANDERSON (M.D.) performs procedures in GENERAL PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL PRACTICEIA90670Pneumococcal vaccine for injection into muscle1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870496417View full group profile
NameSpecialtyState
P S Y C H I A T R YIA
P S Y C H I A T R YIA
Internal Medicine, Hospitalist, Internal MedicineIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Family PracticeIA
Internal Medicine, Hospitalist, Internal MedicineTN
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA
Rheumatology, Internal MedicineOH

Reviews

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Frequently asked questions

What identifier follows KATHY J ANDERSON (M.D.) across health systems?
The NPI 1285636100 uniquely identifies KATHY J ANDERSON (M.D.) in U.S. healthcare data.
Does the public listing show KATHY J ANDERSON (M.D.) as active?
KATHY J ANDERSON (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits KATHY J ANDERSON (M.D.)?
NPPES ties KATHY J ANDERSON (M.D.) to General Practice Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KATHY J ANDERSON (M.D.) in Fort Madison, Iowa?
For routing, start with Fort Madison, Iowa for KATHY J ANDERSON (M.D.), then verify phone and hours locally.
Can I export KATHY J ANDERSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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