KYLE A ANDERSON (MD) – Dermatology Physician, NPI 1720221617
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
99 DERMATOLOGY in KS
Provider Addresses for KYLE A ANDERSON (MD)
3511 Clinton Pl Ste C
Lawrence, KS 660472213
Phone: (785) 331-4488
Fax: (785) 331-4338
Type: Location
Nall Avenue, Leawood, Johnson County, Kansas, 66224, United States
BMO HARRIS BANK BLDG.
LEAWOOD, KS 662111672
Phone: (913) 709-2770
Type: Mailing
11301 NALL AVE STE 205
LEAWOOD, KS 662111774
Phone: (913) 451-5934
Fax: (913) 451-4716
Type: Location
2200 SW 6TH AVE STE 104
TOPEKA, KS 666061707
Phone: (785) 354-8518
Fax: (785) 354-1255
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 458 Open Payments records for all available years, with a total value of $8,002.
Total Amount is formed as General ($8,002) + Research ($0) + Ownership ($0) = $8,002.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($1,078).
Total Amount
$8,002
General + Research + Ownership
Payments
458
Total payment records
General Amount
$8,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $1,078 |
| ABBVIE INC. | $1,075 |
| Janssen Biotech, Inc. | $952 |
| Dermavant Sciences, Inc. | $596 |
| Sun Pharmaceutical Industries Inc. | $338 |
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: 2013-09-20
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 |
|---|---|---|---|---|
| I20130920000268 | I | Dermatology | KS | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 14,126 | 1,298 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 2,071 | 1,389 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,850 | 1,286 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 1,317 | 1,028 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 493 | 425 | $0 |
Insurance plans in this area (ZIP 66047)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | KS | |
| D E R M A T O L O G Y | KS | |
| P A T H O L O G Y | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Physician Assistant | MO | |
| Physician Assistant | KS |
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