DR. LARS P JR. ANDERSEN (D.O.) – Family Medicine Physician, NPI 1902835309

DR. LARS P JR. ANDERSEN (D.O.) is a healthcare provider. based in Saint johns, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5101006728 (MI). The NPI Number for DR. LARS P JR. ANDERSEN (D.O.) is 1902835309

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARS P JR. ANDERSEN (D.O.)
NPI
1902835309
Phone
(989) 224-3000
Address
1005 S US HIGHWAY 27
Enumeration Date
30 June 2006
Last Update Date
11 August 2016

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
9892243000
Graduation Year
1974 (52 years ago)
PAC ID
6305731993
Group Practice PAC ID
8224923818
Professional Enrollment ID
I20100126000392
Address ID
MI488792423SA1005X27XX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

CompanyAmount
Abbott Laboratories$50
View all Open Payments →|Open Payments Risk Radar →

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100126000392IFamily PracticeMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes313166$0
99213Established patient office or other outpatient visit, 20-29 minutes12388$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit105105$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month8515$0
83036Hemoglobin a1c level6642$0
View full utilization report →

Insurance plans in this area (ZIP 48879)

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Provider's Procedures

DR. LARS P JR. ANDERSEN (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI20610Aspiration and/or injection of large joint or joint capsule3320
FAMILY MEDICINEMI81002Urinalysis, manual test2120
FAMILY MEDICINEMI85610Blood test, clotting time4922
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle5353

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: 8224923818View full group profile
NameSpecialtyState
Nurse PractitionerMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
Family Practice, General PracticeMI
Physical Therapist In Private PracticeIL
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI

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Frequently asked questions

How do I look up DR. LARS P JR. ANDERSEN (D.O.) by NPI?
Use NPI 1902835309 when you need to reference DR. LARS P JR. ANDERSEN (D.O.) in forms, claims, or directories.
Is DR. LARS P JR. ANDERSEN (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. LARS P JR. ANDERSEN (D.O.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. LARS P JR. ANDERSEN (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for DR. LARS P JR. ANDERSEN (D.O.)?
We surface Saint Johns, Michigan for DR. LARS P JR. ANDERSEN (D.O.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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