DR. JASON ANDERSON (D.O.) – Emergency Medicine Physician, NPI 1043604358

DR. JASON ANDERSON (D.O.) is a healthcare provider. based in Tyler, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. R5070 (TX). The NPI Number for DR. JASON ANDERSON (D.O.) is 1043604358

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON ANDERSON (D.O.)
NPI
1043604358
Phone
(903) 593-8441
Address
800 E DAWSON ST
Enumeration Date
25 March 2015
Last Update Date
6 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9038857671
Graduation Year
2015 (11 years ago)
PAC ID
5890084040
Group Practice PAC ID
8527420306
Professional Enrollment ID
I20180816002089
Address ID
TX754822105SU115XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for DR. JASON ANDERSON (D.O.)

  • 800 E DAWSON ST

    TYLER, TX 757012036

    Phone: (903) 593-8441

    Type: Mailing

  • 525 E Market St

    Summa Health System/Emergency Medicine

    Akron, OH 443041619

    Phone: (330) 375-4021

    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: 2018-08-16

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
I20180816002089IEmergency MedicineTXTBD

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
99284Emergency department visit with moderate level of medical decision making303297$0
99285Emergency department visit with high level of medical decision making208204$0
99283Emergency department visit with low level of medical decision making173171$0
99291Critical care, first 30-74 minutes8684$0
99292Critical care, each additional 30 minutes4738$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 8527420306View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineMD
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineDE
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JASON ANDERSON (D.O.)'s NPI?
Yes. DR. JASON ANDERSON (D.O.) is listed with NPI 1043604358 in the public NPI dataset.
Is DR. JASON ANDERSON (D.O.) still practicing?
DR. JASON ANDERSON (D.O.) is currently listed as active in the public NPI registry.
What is DR. JASON ANDERSON (D.O.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. JASON ANDERSON (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. JASON ANDERSON (D.O.) list a practice location?
Patients near Tyler, Texas may find DR. JASON ANDERSON (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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