DR. JONATHAN EDWARD ANDERSON (M.D.) – Pediatrics Physician, NPI 1356775969
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
298 PEDIATRIC MEDICINE in OR
Provider Addresses for DR. JONATHAN EDWARD ANDERSON (M.D.)
1750 THOMPSON RD
COOS BAY, OR 974202100
Phone: (541) 269-0333
Fax: (541) 269-7389
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 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2023-11-14 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($50).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $50 |
| PFIZER INC. | $14 |
| GlaxoSmithKline, LLC. | $13 |
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: 2025-09-02
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 |
|---|---|---|---|---|
| I20250902004110 | I | Pediatric Medicine | OR | 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 97420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | OR | |
| Nurse Practitioner | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Clinical Social Worker | OR | |
| Internal Medicine | OR | |
| Certified Nurse Midwife (Cnm) | OR | |
| Nurse Practitioner | OR | |
| - | OR |
Reviews
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