LYNN A ANDERSON (MD) – Dermatology Physician, NPI 1124076161
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 DERMATOLOGY in OK
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Provider Addresses for LYNN A ANDERSON (MD)
Herman Kaiser Medical Plaza, 1725, East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States
SUITE 201
TULSA, OK 741045419
Phone: (918) 728-3100
Fax: (918) 728-3376
Type: Mailing
2424 E 21ST ST STE 340
TULSA, OK 741141722
Phone: (918) 743-4046
Fax: (918) 728-3376
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 164 Open Payments records for all available years, with a total value of $3,153.
Total Amount is formed as General ($3,153) + Research ($0) + Ownership ($0) = $3,153.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($526).
Total Amount
$3,153
General + Research + Ownership
Payments
164
Total payment records
General Amount
$3,153
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
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $526 |
| Sun Pharmaceutical Industries Inc. | $302 |
| Amgen Inc. | $239 |
| Novartis Pharmaceuticals Corporation | $238 |
| ABBVIE INC. | $234 |
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: 2010-10-04
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 |
|---|---|---|---|---|
| I20101004001336 | I | Dermatology | OK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,160 | 811 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 953 | 215 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 457 | 333 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 334 | 268 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 299 | 241 | $0 |
Insurance plans in this area (ZIP 74104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OK | 11101 | Biopsy of each additional growth of skin and/or tissue | 22 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| D E R M A T O L O G Y | VA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | ID | |
| Physician Assistant | OK | |
| D E R M A T O L O G Y | OK | |
| D E R M A T O L O G Y | OK |
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