DR. LARS P JR. ANDERSEN (D.O.) – Family Medicine Physician, NPI 1902835309
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. LARS P JR. ANDERSEN (D.O.)
1005 S US HIGHWAY 27
SUITE 100
SAINT JOHNS, MI 488792423
Phone: (989) 224-3000
Fax: (989) 224-1424
Mailing address matches the actual address.
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 $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Abbott Laboratories ($50).
Total Amount
$50
General + Research + Ownership
Payments
1
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $50 |
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: 2010-01-26
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 |
|---|---|---|---|---|
| I20100126000392 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 313 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 88 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 105 | 105 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 85 | 15 | $0 |
| 83036 | Hemoglobin a1c level | 66 | 42 | $0 |
Insurance plans in this area (ZIP 48879)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 20610 | Aspiration and/or injection of large joint or joint capsule | 33 | 20 |
| FAMILY MEDICINE | MI | 81002 | Urinalysis, manual test | 21 | 20 |
| FAMILY MEDICINE | MI | 85610 | Blood test, clotting time | 49 | 22 |
| FAMILY MEDICINE | MI | 90670 | Pneumococcal vaccine for injection into muscle | 53 | 53 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Family Practice | MI | |
| Family Practice, General Practice | MI | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI |
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