KEVIN ANDERSON (M.D.) – Family Medicine Physician, NPI 1942202916

KEVIN ANDERSON (M.D.) is a healthcare provider. based in Cadillac, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. KA075594 (MI). The NPI Number for KEVIN ANDERSON (M.D.) is 1942202916

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN ANDERSON (M.D.)
NPI
1942202916
Phone
(231) 775-9741
Address
827 E DIVISION ST
Enumeration Date
10 August 2005
Last Update Date
1 December 2016

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2317759741
Graduation Year
1997 (29 years ago)
PAC ID
8820064116
Group Practice PAC ID
8123094414
Professional Enrollment ID
I20100609000775
Address ID
MI496012015CA827XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for KEVIN ANDERSON (M.D.)

  • Family Practice of Cadillac, 827, East Division Street, Cadillac, Haring Township, Wexford County, Michigan, 49601, United States

    CADILLAC, MI 496012015

    Phone: (231) 775-9741

    Fax: (231) 775-9333

    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 106 Open Payments records for all available years, with a total value of $1,799.

Total Amount is formed as General ($1,799) + Research ($0) + Ownership ($0) = $1,799.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($491).

Total Amount

$1,799

General + Research + Ownership

Payments

106

Total payment records

General Amount

$1,799

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-06-09

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
I20100609000775IFamily 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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg29654$0
99214Established patient office or other outpatient visit, 30-39 minutes270128$0
99213Established patient office or other outpatient visit, 20-29 minutes216145$0
99215Established patient office or other outpatient visit, 40-54 minutes206146$0
J0696Injection, ceftriaxone sodium, per 250 mg11022$0
View full utilization report →

Insurance plans in this area (ZIP 49601)

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Provider's Procedures

KEVIN ANDERSON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle4646

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: 8123094414View full group profile
NameSpecialtyState
Family PracticeMI
Family PracticeMI
Family PracticeMI
Osteopathic Manipulative Medicine, Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

What identifier follows KEVIN ANDERSON (M.D.) across health systems?
The NPI 1942202916 uniquely identifies KEVIN ANDERSON (M.D.) in U.S. healthcare data.
Quick check: is KEVIN ANDERSON (M.D.) active?
Public NPPES data shows KEVIN ANDERSON (M.D.) with an active NPI status right now.
How should patients interpret KEVIN ANDERSON (M.D.)'s specialty?
The extract shows Family Medicine Physician for KEVIN ANDERSON (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEVIN ANDERSON (M.D.)?
KEVIN ANDERSON (M.D.) is associated with Cadillac, Michigan in the same public data insurers reference.
Can I export KEVIN ANDERSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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