MARK R ANDERSON (M.D.) – Cardiovascular Disease Physician, NPI 1083672943

MARK R ANDERSON (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. 70317 (MA). The NPI Number for MARK R ANDERSON (M.D.) is 1083672943

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MARK R ANDERSON (M.D.)
NPI
1083672943
Phone
(978) 882-6191
Address
55 Fruit St
Enumeration Date
2 May 2006
Last Update Date
27 April 2022

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
9783542551
Graduation Year
1985 (41 years ago)
PAC ID
9638109010
Group Practice PAC ID
3577467224
Professional Enrollment ID
I20050816000335
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MARK R ANDERSON (M.D.)

  • 55 Fruit St

    Boston, MA 021142621

    Phone: (978) 882-6191

    Type: Location

  • North Shore Medical Center - Salem Hospital, 81, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States

    SALEM, MA 019702714

    Phone: (978) 744-5900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ATRICURE, INC. ($137).

Total Amount

$137

General + Research + Ownership

Payments

1

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$137
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: 2005-08-16

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
I20050816000335ICardiovascular Disease (Cardiology)MATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes480371$0
99215Established patient office or other outpatient visit, 40-54 minutes257213$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only213204$0
99213Established patient office or other outpatient visit, 20-29 minutes125116$0
99205New patient office or other outpatient visit, 60-74 minutes9090$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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Provider's Procedures

MARK R ANDERSON (M.D.) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies8585
CARDIOVASCULAR DISEASE (CARDIOLOGY)MA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report10349

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: 3577467224View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARK R ANDERSON (M.D.)?
MARK R ANDERSON (M.D.) — NPI 1083672943 — is the standard way to identify this listing.
Does the file indicate MARK R ANDERSON (M.D.) is practicing under active NPI?
Directory data currently reports MARK R ANDERSON (M.D.) as active.
What is MARK R ANDERSON (M.D.)'s specialty?
The listing groups MARK R ANDERSON (M.D.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where is MARK R ANDERSON (M.D.) based?
MARK R ANDERSON (M.D.) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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