KEVIN ANDERSON (M.D, PH.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1356720387

KEVIN ANDERSON (M.D, PH.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in PATHOLOGY. They hold the professional credentials M.D, PH.D.. They hold a License No. 269567 (MA). The NPI Number for KEVIN ANDERSON (M.D, PH.D.) is 1356720387

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN ANDERSON (M.D, PH.D.)
NPI
1356720387
Phone
(617) 667-4344
Address
330 Brookline Ave
Enumeration Date
22 May 2015
Last Update Date
11 June 2018

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2073613660
Graduation Year
2013 (13 years ago)
PAC ID
6103172242
Group Practice PAC ID
0749224145
Professional Enrollment ID
I20180705000186
Address ID
ME039091011YO15XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:11State licenses:4Digital endpointsOther names

799 PATHOLOGY in MA

Provider Addresses for KEVIN ANDERSON (M.D, PH.D.)

  • 330 Brookline Ave

    Department of Pathology

    Boston, MA 022155400

    Phone: (617) 667-4344

    Type: Location

  • 330 BROOKLINE AVE

    DEPARTMENT OF PATHOLOGY

    BOSTON, MA 022155400

    Phone: (617) 667-4344

    Type: Mailing

  • 1 HAMPTON RD UNIT 208

    EXETER, NH 038334849

    Phone: (866) 484-3522

    Fax: (603) 778-1602

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-07-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180703002414IPathologyMATBD
I20180705000027IPathologyNHTBD
I20180705000186IPathologyMETBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,717756$0
88341Special stained specimen slides to examine tissue, each additional procedure520143$0
88342Special stained specimen slides to examine tissue, initial procedure313230$0
88112Cell examination of specimen, selective cellular enhancement technique163145$0
88344Special stained specimen slides to examine tissue, each multiplex procedure10628$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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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: 0749224145View full group profile
NameSpecialtyState
P A T H O L O G YIL
P A T H O L O G YMA
P A T H O L O G YMA

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Frequently asked questions

What identifier follows KEVIN ANDERSON (M.D, PH.D.) across health systems?
The NPI 1356720387 uniquely identifies KEVIN ANDERSON (M.D, PH.D.) in U.S. healthcare data.
Is KEVIN ANDERSON (M.D, PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists KEVIN ANDERSON (M.D, PH.D.) as active.
What type of care does KEVIN ANDERSON (M.D, PH.D.) provide?
KEVIN ANDERSON (M.D, PH.D.)'s profile centers on Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEVIN ANDERSON (M.D, PH.D.)?
KEVIN ANDERSON (M.D, PH.D.) is associated with Boston, Massachusetts in the same public data insurers reference.
Who maintains KEVIN ANDERSON (M.D, PH.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.