LARRY WALTER ANDERSON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1891803979

LARRY WALTER ANDERSON (MD) is a healthcare provider. based in Des moines, Iowa. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 28786 (IA). The NPI Number for LARRY WALTER ANDERSON (MD) is 1891803979

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
LARRY WALTER ANDERSON (MD)
NPI
1891803979
Phone
(515) 241-8866
Address
1212 PLEASANT
Enumeration Date
28 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
5152418861
Graduation Year
1984 (42 years ago)
PAC ID
3173627023
Group Practice PAC ID
6901709062
Professional Enrollment ID
I20070402000546
Address ID
IA503091406DE1200XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

190 PATHOLOGY in IA

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Provider Addresses for LARRY WALTER ANDERSON (MD)

  • KKSO-AM (Des Moines), Fairview Drive, Pleasant Hill, Polk County, Iowa, 50327, United States

    #LL3

    DES MOINES, IA 503091414

    Phone: (515) 241-8866

    Fax: (515) 241-8855

    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)

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: 2007-04-02

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
I20070402000546IPathologyIATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,400781$0
88341Special stained specimen slides to examine tissue, each additional procedure544136$0
88307Pathology examination of tissue using a microscope, moderately high complexity374268$0
88342Special stained specimen slides to examine tissue, initial procedure218194$0
88360Microscopic genetic analysis of tumor, manual20294$0
View full utilization report →

Insurance plans in this area (ZIP 50309)

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Provider's Procedures

LARRY WALTER ANDERSON (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIA88304Pathology examination of tissue using a microscope, moderately low complexity160150
PATHOLOGYIA88307Pathology examination of tissue using a microscope, moderately high complexity347200

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: 6901709062View full group profile
NameSpecialtyState
P A T H O L O G YID
P A T H O L O G YKS
P A T H O L O G YIA
P A T H O L O G YNC
P A T H O L O G YIA
P A T H O L O G YIA
P A T H O L O G YIA
-IA
P A T H O L O G YIA
P A T H O L O G YMN

Reviews

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Frequently asked questions

Can I verify LARRY WALTER ANDERSON (MD) with an NPI only?
You can start verification with NPI 1891803979 for LARRY WALTER ANDERSON (MD), then check state licensing separately.
Is LARRY WALTER ANDERSON (MD) listed as active for patients and plans?
The listing shows LARRY WALTER ANDERSON (MD) as active in the NPI system.
What healthcare role does LARRY WALTER ANDERSON (MD) hold?
Scheduling teams often label LARRY WALTER ANDERSON (MD) under Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect LARRY WALTER ANDERSON (MD) on a map?
Expect Des Moines, Iowa as a primary anchor for LARRY WALTER ANDERSON (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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