DR. ANDREW L ARCHER (D.O.) – Surgery Physician, NPI 1336142603

DR. ANDREW L ARCHER (D.O.) is a healthcare provider. based in Centerville, Ohio. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 34006981A (OH). The NPI Number for DR. ANDREW L ARCHER (D.O.) is 1336142603

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW L ARCHER (D.O.)
NPI
1336142603
Phone
(937) 531-0195
Address
7700 WASHINGTON VILLAGE DR STE 130
Enumeration Date
31 May 2005
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9372987751
Graduation Year
1997 (29 years ago)
PAC ID
7315925492
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20040713001621
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
aarcher161171@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

1,600 GENERAL SURGERY in OH

Provider Addresses for DR. ANDREW L ARCHER (D.O.)

  • 7700 WASHINGTON VILLAGE DR STE 130

    CENTERVILLE, OH 454594094

    Phone: (937) 531-0195

    Fax: (937) 531-0196

    Type: Location

  • 1 PRESTIGE PL

    STE 550

    MIAMISBURG, OH 453423794

    Phone: (937) 762-1310

    Fax: (937) 522-8493

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,856.

Total Amount is formed as General ($1,856) + Research ($0) + Ownership ($0) = $1,856.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,594).

Total Amount

$1,856

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2004-07-13

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
I20040713001621IGeneral SurgeryOHTBD

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 minutes4340$0
99204New patient office or other outpatient visit, 45-59 minutes3838$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2722$0
99214Established patient office or other outpatient visit, 30-39 minutes2623$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

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The extract we use shows DR. ANDREW L ARCHER (D.O.) as active.
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Clinically, the directory lists DR. ANDREW L ARCHER (D.O.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
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The page summarizes Centerville, Ohio for DR. ANDREW L ARCHER (D.O.); expand the address list for detail.
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