MARY ELIZABETH ANDERSON (MD) – Dermatology Physician, NPI 1265960264
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for MARY ELIZABETH ANDERSON (MD)
Newton-Wellesley Hospital, 2014, Washington Street, Newton Lower Falls, Newton, Middlesex County, Massachusetts, 02462, United States
NEWTON, MA 024621607
Phone:
Type: Mailing
18228 N US HIGHWAY 41
LUTZ, FL 335494400
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Mailing
3200 3RD ST S STE 200
JACKSONVILLE BEACH, FL 322506097
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $707.
Total Amount is formed as General ($707) + Research ($0) + Ownership ($0) = $707.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($133).
Total Amount
$707
General + Research + Ownership
Payments
17
Total payment records
General Amount
$707
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $133 |
| E.R. Squibb & Sons, L.L.C. | $123 |
| GENZYME CORPORATION | $121 |
| ABBVIE INC. | $119 |
| UCB, Inc. | $36 |
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: 2024-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210802002163 | I | Dermatology | TX | TBD |
| I20241111003929 | I | Dermatology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | FL |
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