DR. DOUGLAS H ANDERSON (D.O.) – Surgery Physician, NPI 1124400759
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
43 CARDIAC SURGERY in KY
Provider Addresses for DR. DOUGLAS H ANDERSON (D.O.)
PO BOX 936
LONDON, KY 407430936
Phone: (606) 330-7835
Fax: (859) 278-0159
Type: Mailing
1401 HARRODSBURG RD STE B275
LEXINGTON, KY 405041775
Phone: (859) 278-2334
Fax: (859) 278-0159
Type: Location
419 W Redwood St Ste 300
Baltimore, MD 212017003
Phone: (410) 328-5842
Fax: (410) 706-6976
Type: Location
101 S 2ND ST
APT 306
HARRISBURG, PA 171012509
Phone: (707) 695-6887
Type: Mailing
111 S FRONT ST
HARRISBURG, PA 171012010
Phone: (717) 231-8755
Type: Location
419 W REDWOOD ST STE 300
BALTIMORE, MD 212017003
Phone: (410) 328-5842
Fax: (410) 706-6976
Type: Location
PO BOX 64226
BALTIMORE, MD 212644226
Phone: (667) 214-1720
Fax: (410) 706-6976
Type: Mailing
65 N 6TH ST APT 4A
BROOKLYN, NY 112493266
Phone: (707) 695-6887
Type: Mailing
300 COMMUNITY DR
MANHASSET, NY 110303876
Phone: (516) 562-0100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $7,475.
Total Amount is formed as General ($7,475) + Research ($0) + Ownership ($0) = $7,475.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: AngioDynamics, Inc. ($3,559).
Total Amount
$7,475
General + Research + Ownership
Payments
55
Total payment records
General Amount
$7,475
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $3,559 |
| Edwards Lifesciences Corporation | $2,286 |
| Medtronic, Inc. | $689 |
| ATRICURE, INC. | $614 |
| Penumbra, Inc. | $114 |
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: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20220809003730 | I | Cardiac Surgery | DC | TBD |
| I20220809004000 | I | Cardiac Surgery | MD | TBD |
| I20260302003274 | I | Thoracic Surgery | NY | 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 |
|---|---|---|---|---|
| 33361 | Replacement of aortic valve through the skin and femoral artery | 69 | 69 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 17 | 17 | $0 |
| 76998 | Ultrasonic guidance during surgery | 15 | 15 | $0 |
Insurance plans in this area (ZIP 40743)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery, General Surgery | MD | |
| Thoracic Surgery, General Surgery | MD | |
| General Surgery | MD | |
| Urology, General Surgery | MD | |
| - | MD | |
| U R O L O G Y | MD | |
| Nurse Practitioner | MD | |
| General Surgery, Surgical Oncology | MD | |
| Plastic And Reconstructive Surgery | MD | |
| Cardiac Surgery | MD |
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