SAMUEL R ANDERSON (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1902883135
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
407 ENDOCRINOLOGY in OH
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Provider Addresses for SAMUEL R ANDERSON (M.D.)
Olentangy River Rd, Knolls-Thomas, Columbus, Sharon, Franklin County, Ohio, 43214:43220, United States
SUITE 100
COLUMBUS, OH 432141926
Phone: (614) 457-7732
Fax: (614) 457-4346
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 356 Open Payments records for all available years, with a total value of $123,975.
Total Amount is formed as General ($123,975) + Research ($0) + Ownership ($0) = $123,975.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($100,836).
Total Amount
$123,975
General + Research + Ownership
Payments
356
Total payment records
General Amount
$123,975
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
| Company | Amount |
|---|---|
| Lilly USA, LLC | $100,836 |
| Novo Nordisk Inc | $16,412 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $4,196 |
| Corcept Therapeutics | $205 |
| Dexcom, Inc. | $146 |
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: 2004-11-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041103000052 | I | Endocrinology | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 692 | 487 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 558 | 353 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 298 | 218 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 273 | 151 | $0 |
| 83036 | Hemoglobin a1c level | 203 | 131 | $0 |
Insurance plans in this area (ZIP 43214)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P O D I A T R Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Family Practice | OH | |
| Family Practice, Obstetrics/Gynecology | OH | |
| - | OH | |
| - | OH | |
| Certified Nurse Midwife (Cnm) | OH |
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