STEPHAN W ANDERSON (M.D.) – Diagnostic Radiology Physician, NPI 1235243122
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for STEPHAN W ANDERSON (M.D.)
10 Gove St
East Boston, MA 021281920
Phone: (617) 569-5800
Type: Location
960 MASSACHUSETTS AVENUE
FL 2
BOSTON, MA 02118
Phone:
Type: Mailing
801 ALBANY ST FL G
BOSTON, MA 021193791
Phone:
Type: Mailing
840 HARRISON AVE
BOSTON, MA 021182905
Phone: (617) 638-6610
Fax: (617) 638-6616
Type: Location
Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
DOB 503
BOSTON, MA 021182371
Phone:
Type: Mailing
88 E Newton St, East Newton Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States
BOSTON, MA 021182308
Phone: (617) 638-6610
Fax: (617) 638-6616
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $61,685.
Total Amount is formed as General ($26,287) + Research ($35,398) + Ownership ($0) = $61,685.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($35,398).
Total Amount
$61,685
General + Research + Ownership
Payments
36
Total payment records
General Amount
$26,287
General payments
Research Amount
$35,398
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Pharmaceuticals, Inc. | $35,398 |
| BioNTech SE | $13,533 |
| Amgen Inc. | $9,739 |
| PFIZER INC. | $3,016 |
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: 2007-08-25
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 |
|---|---|---|---|---|
| I20070825000012 | I | Diagnostic Radiology | MA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 66 | 40 | $0 |
| 71046 | X-ray of chest, 2 views | 32 | 32 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 17 | 17 | $0 |
| 71260 | Ct scan of chest with contrast | 13 | 13 | $0 |
| 74018 | X-ray of abdomen, 1 view | 13 | 11 | $0 |
Insurance plans in this area (ZIP 02128)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Physician Assistant | MA | |
| - | MA | |
| Diagnostic Radiology, Nuclear Medicine | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA |
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