GRECORI ANDERSON (MD) – Urology Physician, NPI 1114213469

GRECORI ANDERSON (MD) is a healthcare provider. based in Richmond heights, Missouri. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. MD187484 (OR). The NPI Number for GRECORI ANDERSON (MD) is 1114213469

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
GRECORI ANDERSON (MD)
NPI
1114213469
Phone
(316) 706-7980
Address
7316 BRUNO AVE
Enumeration Date
24 June 2011
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5033384060
Graduation Year
2011 (15 years ago)
PAC ID
9739318049
Group Practice PAC ID
5294643359
Professional Enrollment ID
I20190307003373
Address ID
OR971033331AS2265XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

271 UROLOGY in MO

Provider Addresses for GRECORI ANDERSON (MD)

  • 7316 BRUNO AVE

    RICHMOND HEIGHTS, MO 631172410

    Phone: (316) 706-7980

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    SAINT LOUIS, MO 631101003

    Phone: (314) 867-3627

    Type: Location

  • 2265 EXCHANGE ST

    ASTORIA, OR 971033331

    Phone: (503) 338-4075

    Fax: (503) 338-4076

    Type: Location

  • 2111 EXCHANGE ST

    ASTORIA, OR 971033329

    Phone: (503) 325-4321

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $246.

Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Boston Scientific Corporation ($183).

Total Amount

$246

General + Research + Ownership

Payments

5

Total payment records

General Amount

$246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2019-03-07

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
I20190307003373IUrologyORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63117)

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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: 5294643359View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Orthopedic SurgeryIA
Pulmonary DiseaseOR
-OR
Nurse PractitionerOR
Certified Registered Nurse Anesthetist (Crna)MO
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyME
-CO

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Frequently asked questions

Can I cross-check GRECORI ANDERSON (MD) using NPI 1114213469?
NPI 1114213469 belongs to GRECORI ANDERSON (MD); compare other details if you need extra assurance.
Is GRECORI ANDERSON (MD) shown as active in public data?
Registry records indicate GRECORI ANDERSON (MD) maintains an active NPI.
What area of care is associated with GRECORI ANDERSON (MD)?
GRECORI ANDERSON (MD)'s record emphasizes Urology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GRECORI ANDERSON (MD)?
Directory geography for GRECORI ANDERSON (MD) centers on Richmond Heights, Missouri.
Can I trust this NPI listing for GRECORI ANDERSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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