NATHAN WALLACE ANDERSON (MD) – Family Medicine Physician, NPI 1386078715
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for NATHAN WALLACE ANDERSON (MD)
1253 N Von Minden St
LA Grange, TX 789451262
Phone: (979) 968-8493
Fax: (979) 968-6388
Type: Location
940 NORTHGATE DR
RICHLAND, WA 993523505
Phone: (509) 942-2516
Fax: (509) 942-2527
Type: Mailing
598 Cactus St
Giddings, TX 789421437
Phone: (979) 542-7400
Type: Location
230 W NORTH MAIN ST
FLATONIA, TX 78941
Phone: (979) 968-8493
Type: Location
2 SAINT MARKS PL STE 110
LA GRANGE, TX 789451255
Phone: (979) 968-8493
Fax: (979) 968-6388
Type: Mailing
622 W STATE HWY 71
BASTROP, TX 78602
Phone: (512) 483-9596
Type: Location
6210 E HWY 290
AUSTIN, TX 787231142
Phone: (512) 483-9596
Type: Mailing
1253 N VON MINDEN ST
LA GRANGE, TX 789451262
Phone: (979) 968-8493
Fax: (979) 968-6388
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($29).
Total Amount
$84
General + Research + Ownership
Payments
4
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $29 |
| Shield Therapeutics Inc | $24 |
| Novo Nordisk Inc | $16 |
| ABBVIE INC. | $15 |
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: 2021-08-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210804000630 | I | Family Practice | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 566 | 274 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 259 | 191 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 201 | 173 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 163 | 163 | $0 |
| 83036 | Hemoglobin a1c level | 139 | 104 | $0 |
Insurance plans in this area (ZIP 78945)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| Family Practice | IL | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| - | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Family Practice, General Surgery | TX |
Reviews
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