DR. LYLE F JR. ANDERSON (MD) – Surgery Physician, NPI 1992776744

DR. LYLE F JR. ANDERSON (MD) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD021012E (PA). The NPI Number for DR. LYLE F JR. ANDERSON (MD) is 1992776744

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. LYLE F JR. ANDERSON (MD)
NPI
1992776744
Phone
(717) 671-2050
Address
4310 Londonderry Rd
Enumeration Date
30 January 2006
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
7177912620
Graduation Year
1976 (50 years ago)
PAC ID
3476686395
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20100729000267
Address ID
PA171095300HA4310XRDXX305

Contacts

Secure Messaging
landerson7091@phsdirect.pinnaclehealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,999 GENERAL SURGERY in PA

Provider Addresses for DR. LYLE F JR. ANDERSON (MD)

  • 4310 Londonderry Rd

    Harrisburg, PA 171095300

    Phone: (717) 671-2050

    Fax: (717) 671-2051

    Type: Location

  • 2025 Technology Pkwy Ste G07

    Mechanicsburg, PA 170509400

    Phone: (717) 791-2440

    Fax: (717) 791-2441

    Type: Location

  • 3130 Grandview Rd Ste 1

    Hanover, PA 173319134

    Phone: (717) 316-6999

    Fax: (717) 316-6994

    Type: Location

  • 366 Alexander Spring Rd Ste 2

    Carlisle, PA 170159214

    Phone: (717) 243-1900

    Fax: (717) 243-1910

    Type: Location

  • 19 SPRINT DR STE 3

    CARLISLE, PA 170157002

    Phone: (717) 713-2100

    Fax: (717) 713-2101

    Type: Location

  • 409, South Front Street, Shipoke, South Harrisburg, Harrisburg, Dauphin County, Pennsylvania, 17104, United States

    SUITE 2F

    HARRISBURG, PA 171041612

    Phone:

    Type: Mailing

  • 100, Walnut Street, Washington Heights, Lemoyne, Cumberland County, Pennsylvania, 17043, United States

    LEMOYNE, PA 17043

    Phone: (717) 761-4141

    Fax: (717) 761-1456

    Type: Location

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: 2010-07-29

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
I20100729000267IGeneral SurgeryPATBD

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
97597Removal of tissue from wound, 20.0 sq cm or less358155$0
99212Established patient office or other outpatient visit, 10-19 minutes232130$0
97598Removal of tissue from wound, each additional 20.0 sq cm20141$0
99203New patient office or other outpatient visit, 30-44 minutes6060$0
99213Established patient office or other outpatient visit, 20-29 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 17109)

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Provider's Procedures

DR. LYLE F JR. ANDERSON (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYPA11042Removal of skin and tissue first 20 sq cm or less1511

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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

Can I verify DR. LYLE F JR. ANDERSON (MD) with an NPI only?
You can start verification with NPI 1992776744 for DR. LYLE F JR. ANDERSON (MD), then check state licensing separately.
Is DR. LYLE F JR. ANDERSON (MD) listed as active for patients and plans?
The listing shows DR. LYLE F JR. ANDERSON (MD) as active in the NPI system.
What healthcare role does DR. LYLE F JR. ANDERSON (MD) hold?
Scheduling teams often label DR. LYLE F JR. ANDERSON (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LYLE F JR. ANDERSON (MD)?
DR. LYLE F JR. ANDERSON (MD)'s geographic hint is Harrisburg, Pennsylvania in our summary view.
Is the information about DR. LYLE F JR. ANDERSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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