MR. MATTHEW ALAN ANDERSON (PA) – Medical Physician Assistant, NPI 1174238042

MR. MATTHEW ALAN ANDERSON (PA) is a healthcare provider. based in Fairfield, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MR. MATTHEW ALAN ANDERSON (PA) is 1174238042

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW ALAN ANDERSON (PA)
NPI
1174238042
Phone
(513) 841-7900
Address
925 DEIS DR
Enumeration Date
16 January 2023
Last Update Date
16 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138417750
Graduation Year
2022 (4 years ago)
PAC ID
4880066042
Group Practice PAC ID
6204740889
Professional Enrollment ID
I20230216000853
Address ID
OH452451683CI4360XDRXX301

Contacts

Other Endpoint
manderson@urologygroup.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness85
Years active:3State licenses:0Other namesUpdated within 12 months

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for MR. MATTHEW ALAN ANDERSON (PA)

  • 925 DEIS DR

    FAIRFIELD, OH 450148130

    Phone: (513) 841-7900

    Fax: (513) 841-7901

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $2,179.

Total Amount is formed as General ($2,179) + Research ($0) + Ownership ($0) = $2,179.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($285).

Total Amount

$2,179

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2023-02-16

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
I20230216000853IPhysician AssistantOHTBD

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
81002Urinalysis, manual test254195$0
99214Established patient office or other outpatient visit, 30-39 minutes160126$0
99213Established patient office or other outpatient visit, 20-29 minutes12190$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11264$0
51798Ultrasound measurement of bladder capacity after voiding7864$0
View full utilization report →

Insurance plans in this area (ZIP 45014)

Loading plans...

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: 6204740889View full group profile
NameSpecialtyState
U R O L O G YOH
U R O L O G YOH
U R O L O G YOH
U R O L O G YPA
-OH
U R O L O G YOH
P A T H O L O G YNY
U R O L O G YOH
Physician AssistantTX
Radiation OncologyOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for MR. MATTHEW ALAN ANDERSON (PA) in the U.S.?
In the U.S., MR. MATTHEW ALAN ANDERSON (PA) is identified by NPI 1174238042.
Does the public listing show MR. MATTHEW ALAN ANDERSON (PA) as active?
MR. MATTHEW ALAN ANDERSON (PA)'s NPI record reflects an active status in NPPES.
What does the directory say MR. MATTHEW ALAN ANDERSON (PA) does?
Insurance directories may phrase it differently, but here MR. MATTHEW ALAN ANDERSON (PA) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. MATTHEW ALAN ANDERSON (PA)?
MR. MATTHEW ALAN ANDERSON (PA) is associated with Fairfield, Ohio in the same public data insurers reference.
Who maintains MR. MATTHEW ALAN ANDERSON (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

REBECCA S SCHAMEL (PA-C)

Medical Physician Assistant
2960 MACK RD
NPI: 1922126101

BRITTANY L WILSON (PA)

Medical Physician Assistant
12029 SHERATON LN
NPI: 1578871935

MEGHAN LANE JEZ (PA-C)

Medical Physician Assistant
3000 MACK RD
NPI: 1780985895
4630 BOOMER RD
NPI: 1104212919

MRS. EMILY WOODALL

Medical Physician Assistant
4535 DRESSLER RD NW
NPI: 1457735540

MRS. CASSAUNDRA KALMAN CRAIG (PA-C)

Medical Physician Assistant
Beechmont Avenue, Linwood, Cincinnati, Hamilton County, Ohio, 45226, United States
NPI: 1629431002
36475 FIVE MILE RD
NPI: 1629501630

HANNAH TOBERMAN (PA-C)

Physician Assistant
4100 Lake Otis Pkwy Ste 322
NPI: 1225695935

DAWN MICHELLE SODDERS (PA)

Medical Physician Assistant
3050 MACK RD STE 200
NPI: 1861156291