MARY S ANDERSON (MD) – Family Medicine Physician, NPI 1083611057

MARY S ANDERSON (MD) is a healthcare provider. based in Marshall, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-1905 (AR). The NPI Number for MARY S ANDERSON (MD) is 1083611057

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARY S ANDERSON (MD)
NPI
1083611057
Phone
(903) 927-3782
Address
PO BOX 1326
Enumeration Date
5 July 2005
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
5012616450
Graduation Year
1996 (30 years ago)
PAC ID
4981603693
Group Practice PAC ID
2567370620
Professional Enrollment ID
I20250609000280
Address ID
AR722055342LI500XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for MARY S ANDERSON (MD)

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

  • 805 LINDSEY DR

    MARSHALL, TX 756705271

    Phone: (903) 938-1146

    Fax: (903) 927-1764

    Type: Location

  • 497, Belfast Augusta Road, Clarks Corner, Waldo County, Maine, 04949, United States

    AUGUSTA, AR 720060497

    Phone: (870) 347-2534

    Fax: (870) 347-3492

    Type: Mailing

  • Harrison Street, College Heights Addition, Batesville, Independence County, Arkansas, 72501, United States

    BATESVILLE, AR 725019419

    Phone: (870) 307-0001

    Fax: (870) 307-0395

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $1,657.

Total Amount is formed as General ($1,657) + Research ($0) + Ownership ($0) = $1,657.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($226).

Total Amount

$1,657

General + Research + Ownership

Payments

94

Total payment records

General Amount

$1,657

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2025-06-09

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
I20061206000540IFamily PracticeARTBD
I20250609000280IFamily PracticeTXTBD

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
83036Hemoglobin a1c level12461$0
82044Urine microalbumin (protein) analysis6967$0
81003Automated urinalysis test4438$0
80305Testing for presence of drug, read by direct observation3227$0
View full utilization report →

Insurance plans in this area (ZIP 75671)

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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: 2567370620View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerKY
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I verify MARY S ANDERSON (MD) with an NPI only?
You can start verification with NPI 1083611057 for MARY S ANDERSON (MD), then check state licensing separately.
Is MARY S ANDERSON (MD) listed as active for patients and plans?
The listing shows MARY S ANDERSON (MD) as active in the NPI system.
What is MARY S ANDERSON (MD) best known for clinically?
Directory data describes MARY S ANDERSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARY S ANDERSON (MD)?
MARY S ANDERSON (MD)'s geographic hint is Marshall, Texas in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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