DR. GARY L ANDERSON (D.O.) – Surgery Physician, NPI 1891761698

DR. GARY L ANDERSON (D.O.) is a healthcare provider. based in Bellbrook, Ohio. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 34-00-4496A (OH). The NPI Number for DR. GARY L ANDERSON (D.O.) is 1891761698

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY L ANDERSON (D.O.)
NPI
1891761698
Phone
(937) 427-2325
Address
566 S ALPHA BELLBROOK RD
Enumeration Date
23 February 2006
Last Update Date
18 November 2020

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
9373340330
Graduation Year
1986 (40 years ago)
PAC ID
4981608577
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20100505000908
Address ID
OH454291270KE3533XBLVD301

Contacts

Secure Messaging
ganderson3116@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,600 GENERAL SURGERY in OH

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Provider Addresses for DR. GARY L ANDERSON (D.O.)

  • 566 S ALPHA BELLBROOK RD

    BELLBROOK, OH 453059791

    Phone: (937) 427-2325

    Fax: (937) 534-0340

    Type: Mailing

  • 3533 SOUTHERN BLVD STE 2250

    KETTERING, OH 454291270

    Phone: (937) 534-0330

    Fax: (937) 522-8995

    Type: Mailing

  • 3533, Southern Boulevard, South Dale, Kettering, Montgomery County, Ohio, 45429, United States

    SUITE 2250

    KETTERING, OH 454291264

    Phone: (937) 534-0330

    Fax: (937) 534-0340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Baxter Healthcare ($58).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$58
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: 2010-05-05

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
I20100505000908IGeneral 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2519$0
99212Established patient office or other outpatient visit, 10-19 minutes2218$0
99202New patient office or other outpatient visit, 15-29 minutes2121$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 45305)

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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

What is the 10-digit NPI for DR. GARY L ANDERSON (D.O.)?
DR. GARY L ANDERSON (D.O.) — NPI 1891761698 — is the standard way to identify this listing.
Is DR. GARY L ANDERSON (D.O.) still practicing?
DR. GARY L ANDERSON (D.O.) is currently listed as active in the public NPI registry.
What healthcare role does DR. GARY L ANDERSON (D.O.) hold?
Scheduling teams often label DR. GARY L ANDERSON (D.O.) under Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. GARY L ANDERSON (D.O.)?
DR. GARY L ANDERSON (D.O.)'s geographic hint is Bellbrook, Ohio in our summary view.
Why does DR. GARY L ANDERSON (D.O.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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