ANDREW HAYWARD LUNDBERG (M.D.) – Vascular Surgery Physician, NPI 1770509705

ANDREW HAYWARD LUNDBERG (M.D.) is a healthcare provider. based in Paris, Tennessee. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. MD29285 (TN). The NPI Number for ANDREW HAYWARD LUNDBERG (M.D.) is 1770509705

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW HAYWARD LUNDBERG (M.D.)
NPI
1770509705
Phone
(731) 644-3211
Address
235 TYSON AVE
Enumeration Date
14 July 2006
Last Update Date
5 November 2007

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7316443211
Graduation Year
1995 (31 years ago)
PAC ID
2860485752
Group Practice PAC ID
3274525092
Professional Enrollment ID
I20040406001376
Address ID
TN382424544PA235XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

176 VASCULAR SURGERY in TN

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Provider Addresses for ANDREW HAYWARD LUNDBERG (M.D.)

  • 235, Tyson Avenue, Paris, Henry County, West Tennessee, Tennessee, 38242, United States

    PARIS, TN 382424544

    Phone: (731) 644-3211

    Fax: (731) 644-1552

    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 14 Open Payments records for all available years, with a total value of $713.

Total Amount is formed as General ($713) + Research ($0) + Ownership ($0) = $713.

Last reported payment date: 2024-03-29 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($521).

Total Amount

$713

General + Research + Ownership

Payments

14

Total payment records

General Amount

$713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040406001376IVascular SurgeryTNTBD
I20240809000452IVascular SurgeryKYTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes396283$0
99203New patient office or other outpatient visit, 30-44 minutes139139$0
93925Ultrasound of leg arteries or artery grafts7266$0
93880Ultrasound of both sides of head and neck blood flow6464$0
93976Ultrasound of abdomen and pelvis artery and vein blood flow4343$0
View full utilization report →

Insurance plans in this area (ZIP 38242)

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Provider's Procedures

ANDREW HAYWARD LUNDBERG (M.D.) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYTN45385Removal of polyps or growths of large bowel using an endoscope2929
VASCULAR SURGERYTN93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2118

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: 3274525092View full group profile
NameSpecialtyState
General SurgeryTN
General SurgeryTN
A N E S T H E S I O L O G YTN

Reviews

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Frequently asked questions

What number should I use to identify ANDREW HAYWARD LUNDBERG (M.D.) for billing?
Administrative and clinical systems typically use NPI 1770509705 for ANDREW HAYWARD LUNDBERG (M.D.).
Should I treat ANDREW HAYWARD LUNDBERG (M.D.) as an active provider?
Patients and plans typically see ANDREW HAYWARD LUNDBERG (M.D.) as active in the national extract.
Which specialty label fits ANDREW HAYWARD LUNDBERG (M.D.)?
NPPES ties ANDREW HAYWARD LUNDBERG (M.D.) to Vascular Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ANDREW HAYWARD LUNDBERG (M.D.) in Paris, Tennessee?
For routing, start with Paris, Tennessee for ANDREW HAYWARD LUNDBERG (M.D.), then verify phone and hours locally.
Who maintains ANDREW HAYWARD LUNDBERG (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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