JASON ANDERSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1588821979

JASON ANDERSON (DPM) is a healthcare provider. based in Kansas city, Missouri. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 000868 (IA). The NPI Number for JASON ANDERSON (DPM) is 1588821979

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JASON ANDERSON (DPM)
NPI
1588821979
Phone
(816) 943-1111
Address
1010 CARONDELET DR STE 301
Enumeration Date
22 May 2008
Last Update Date
20 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8169431111
Graduation Year
2005 (21 years ago)
PAC ID
4486725082
Group Practice PAC ID
4385637339
Professional Enrollment ID
I20210903000199
Address ID
KS662141900OV8800XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness85
Years active:18State licenses:5Digital endpointsOther names

285 PODIATRY in MO

Provider Addresses for JASON ANDERSON (DPM)

  • 1010 CARONDELET DR STE 301

    KANSAS CITY, MO 641144823

    Phone: (816) 943-1111

    Fax: (913) 780-4834

    Type: Mailing

  • 9501 N Oak Trfy Ste 200

    Kansas City, MO 641552201

    Phone: (816) 943-1111

    Type: Location

  • PO BOX 5074

    SIOUX FALLS, SD 571175074

    Phone: (605) 328-6585

    Fax: (605) 328-6512

    Type: Mailing

  • West 18th Street, Sioux Falls, Minnehaha County, South Dakota, 57117-5039, United States

    SIOUX FALLS, SD 571044651

    Phone: (605) 328-2663

    Fax: (605) 328-3760

    Type: Location

  • 8800 Ballentine St

    Overland Park, KS 662141900

    Phone: (816) 943-1111

    Type: Location

  • 411 Nichols Rd Ste 174

    Kansas City, MO 641122014

    Phone: (816) 943-1111

    Type: Location

  • 3600 NE Ralph Powell Rd Ste D

    Lees Summit, MO 640642369

    Phone: (816) 943-1111

    Type: Location

  • 9300 MEADOW VIEW DR

    STE 101

    LENEXA, KS 66227

    Phone: (913) 871-2183

    Fax: (913) 780-4834

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $15,796.

Total Amount is formed as General ($15,796) + Research ($0) + Ownership ($0) = $15,796.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Smith+Nephew, Inc. ($12,115).

Total Amount

$15,796

General + Research + Ownership

Payments

86

Total payment records

General Amount

$15,796

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2023-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210903000199IPodiatryKSTBD
I20230222002982IPodiatryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes247158$0
73630X-ray of foot, minimum of 3 views11575$0
11721Removal of fingernails or toenails, 6 or more nails11386$0
99203New patient office or other outpatient visit, 30-44 minutes108108$0
99214Established patient office or other outpatient visit, 30-39 minutes8762$0
View full utilization report →

Insurance plans in this area (ZIP 64114)

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Provider's Procedures

JASON ANDERSON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYSD11720Removal of tissue from 1 to 5 finger or toe nails1513

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: 4385637339View full group profile
NameSpecialtyState
P O D I A T R YMO
P O D I A T R YMO
P O D I A T R YKS
-MO

Reviews

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Frequently asked questions

Can I use this page to confirm JASON ANDERSON (DPM)'s NPI?
Yes. JASON ANDERSON (DPM) is listed with NPI 1588821979 in the public NPI dataset.
Can I rely on JASON ANDERSON (DPM) being an active provider?
As of the registry snapshot, JASON ANDERSON (DPM) is marked active.
What taxonomy line describes JASON ANDERSON (DPM)?
For research purposes, treat JASON ANDERSON (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JASON ANDERSON (DPM)?
JASON ANDERSON (DPM)'s geographic hint is Kansas City, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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