MARK D ANDERSON (MD) – Interventional Cardiology Physician, NPI 1073557922

MARK D ANDERSON (MD) is a healthcare provider. based in Springfield, Missouri. specializing in INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 36539 (MO). The NPI Number for MARK D ANDERSON (MD) is 1073557922

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MARK D ANDERSON (MD)
NPI
1073557922
Phone
Not provided
Address
PO BOX 9007
Enumeration Date
15 June 2006
Last Update Date
27 December 2018

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4172691182
Graduation Year
1983 (43 years ago)
PAC ID
4587694385
Group Practice PAC ID
1254248917
Professional Enrollment ID
I20050820000076
Address ID
MO658046538SP3901XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

204 INTERVENTIONAL CARDIOLOGY in MO

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Provider Addresses for MARK D ANDERSON (MD)

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658089007

    Phone:

    Type: Mailing

  • Cox Medical Center South, 3801, South National Avenue, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658075210

    Phone: (417) 875-3000

    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: 2005-08-20

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
I20050820000076IInterventional CardiologyMOTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4,8543,472$0
93248Heart rhythm review and interpretation of continous external ekg over 8-15 days176175$0
View full utilization report →

Insurance plans in this area (ZIP 65808)

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Provider's Procedures

MARK D ANDERSON (MD) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYMO92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin2626
INTERVENTIONAL CARDIOLOGYMO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report7669
INTERVENTIONAL CARDIOLOGYMO93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart5251

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: 1254248917View full group profile
NameSpecialtyState
Nurse PractitionerMO
Physical Medicine And RehabilitationMO
Clinical PsychologistMO
Nurse PractitionerMO
Clinical PsychologistMO
Physician AssistantMO
Physician AssistantMO
-MD
H E M A T O L O G Y/ O N C O L O G YIL
Nurse PractitionerMO

Reviews

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Frequently asked questions

What federal number belongs to MARK D ANDERSON (MD)?
The federal identifier for MARK D ANDERSON (MD) is NPI 1073557922.
Is MARK D ANDERSON (MD)'s NPI currently valid?
The extract we use shows MARK D ANDERSON (MD) as active.
Does MARK D ANDERSON (MD) list a primary specialty?
If you are matching referrals, note Interventional Cardiology Physician for MARK D ANDERSON (MD). Clinical services aligned with this taxonomy classification.
Does MARK D ANDERSON (MD) practice in Missouri?
You will see Springfield, Missouri on file for MARK D ANDERSON (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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