ALEXANDER ANDERSON (PA-C) – Physician Assistant, NPI 1295780898
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALEXANDER ANDERSON (PA-C)
9249 W Lake City Rd
Houghton Lake, MI 486299602
Phone: (989) 422-5122
Fax: (989) 422-4378
Type: Location
1015 S WASHINGTON AVE STE E
SAGINAW, MI 48601
Phone: (989) 907-7636
Fax: (989) 907-7584
Type: Location
PO BOX 779
TAWAS CITY, MI 487640779
Phone: (989) 362-9411
Fax: (989) 362-9925
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-06-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $17 |
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: 2005-02-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050216000707 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 48 | $0 |
Insurance plans in this area (ZIP 48629)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| Physician Assistant | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Cardiac Electrophysiology | MI | |
| Neurology, Neuropsychiatry | MI | |
| - | MI | |
| - | MI | |
| Rheumatology, Internal Medicine | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| P O D I A T R Y | MI |
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