ANDREW KEITH SANDERS – Surgical Physician Assistant, NPI 1205484961
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for ANDREW KEITH SANDERS
Oklahoma City VA Health Care System, 921, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States
OKLAHOMA CITY, OK 731045007
Phone: (405) 456-3409
Fax: (405) 456-5952
Type: Location
2369, Trafalgar Drive, Biloxi, Harrison County, Mississippi, 39531, United States
BILOXI, MS 395312277
Phone: (334) 714-7429
Type: Mailing
305 PAUL W BRYANT DR E
TUSCALOOSA, AL 354012055
Phone: (205) 345-0192
Fax: (205) 759-8794
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $284.
Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($234).
Total Amount
$284
General + Research + Ownership
Payments
4
Total payment records
General Amount
$284
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $234 |
| ConvaTec Inc. | $50 |
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: 2024-04-24
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 |
|---|---|---|---|---|
| I20240424003167 | I | Physician Assistant | AL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Physical Therapist In Private Practice | AL | |
| - | AL | |
| - | AL | |
| Orthopedic Surgery | AL | |
| Occupational Therapist In Private Practice | AL | |
| Physician Assistant | GA | |
| Orthopedic Surgery | AL |
Reviews
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