THOMAS W ANDERSEN (M.D.) – Family Medicine Physician, NPI 1073597134

THOMAS W ANDERSEN (M.D.) is a healthcare provider. based in Lititz, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD033956E (PA). The NPI Number for THOMAS W ANDERSEN (M.D.) is 1073597134

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS W ANDERSEN (M.D.)
NPI
1073597134
Phone
(717) 626-2167
Address
562 W 2ND AVE
Enumeration Date
2 December 2005
Last Update Date
1 September 2007

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7172994644
Graduation Year
1984 (42 years ago)
PAC ID
3577699594
Group Practice PAC ID
0941103683
Professional Enrollment ID
I20100330000235
Address ID
PA176011321LA3045XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for THOMAS W ANDERSEN (M.D.)

  • Lititz Family Medicine, 562, West 2nd Avenue, Lititz, Lancaster County, Pennsylvania, 17543, United States

    LITITZ, PA 175431816

    Phone: (717) 626-2167

    Fax: (717) 626-1915

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-30

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
I20100330000235IFamily PracticePATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes599269$0
G0008Administration of influenza virus vaccine6464$0
90662Influenza vaccine split virus, preservative free5757$0
90480Admn sarscov2 vacc 1 dose1919$0
91322Sarscov2 vac 50 mcg/0.5ml im1919$0
View full utilization report →

Insurance plans in this area (ZIP 17543)

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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: 0941103683View full group profile
NameSpecialtyState
Family Practice, Addiction MedicinePA
N E U R O L O G YNY
H E M A T O L O G Y/ O N C O L O G YPA
Family PracticePA
Nurse PractitionerPA
-PA
Epileptologists, NeurologyPA
-PA
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

Does THOMAS W ANDERSEN (M.D.) have a public NPI I can cite?
Public records show THOMAS W ANDERSEN (M.D.) under NPI 1073597134.
Is THOMAS W ANDERSEN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists THOMAS W ANDERSEN (M.D.) as active.
What does the directory say THOMAS W ANDERSEN (M.D.) does?
Insurance directories may phrase it differently, but here THOMAS W ANDERSEN (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is THOMAS W ANDERSEN (M.D.) tied to Lititz, Pennsylvania?
If you are local to Lititz, Pennsylvania, THOMAS W ANDERSEN (M.D.) may be relevant to your search.
Can I export THOMAS W ANDERSEN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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