CARROL L JR. ANDERSON (M.D.) – Family Medicine Physician, NPI 1457452922

CARROL L JR. ANDERSON (M.D.) is a healthcare provider. based in Brownsville, Texas. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. F6390 (TX). The NPI Number for CARROL L JR. ANDERSON (M.D.) is 1457452922

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
CARROL L JR. ANDERSON (M.D.)
NPI
1457452922
Phone
(956) 982-1001
Address
3302 BOCA CHICA BLVD STE 109
Enumeration Date
26 September 2006
Last Update Date
3 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9567289979
Graduation Year
1980 (46 years ago)
PAC ID
1951386630
Group Practice PAC ID
9830142157
Professional Enrollment ID
I20040618000980
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

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Provider Addresses for CARROL L JR. ANDERSON (M.D.)

  • Boca Chica Boulevard, Los Ebanos, Brownsville, Cameron County, Texas, 78520, United States

    BROWNSVILLE, TX 785214271

    Phone: (956) 982-1001

    Fax: (956) 982-1938

    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)

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: 2004-06-18

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
I20040618000980IFamily 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
J1100Injection, dexamethasone sodium phosphate, 1 mg16920$0
J1885Injection, ketorolac tromethamine, per 15 mg9217$0
J0696Injection, ceftriaxone sodium, per 250 mg9223$0
96372Injection of drug or substance under skin or into muscle7544$0
99213Established patient office or other outpatient visit, 20-29 minutes4038$0
View full utilization report →

Insurance plans in this area (ZIP 78521)

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Provider's Procedures

CARROL L JR. ANDERSON (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX73562X-ray of knee, 3 views4240
FAMILY MEDICINETX73630X-ray of foot, minimum of 3 views2726
FAMILY MEDICINETX83036Hemoglobin A1C level7671
FAMILY MEDICINETX95117Injection of incremental dosages of allergen, 2 or more injections3714

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: 9830142157View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family Practice, Peripheral Vascular DiseaseTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for CARROL L JR. ANDERSON (M.D.) in the U.S.?
In the U.S., CARROL L JR. ANDERSON (M.D.) is identified by NPI 1457452922.
Is CARROL L JR. ANDERSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists CARROL L JR. ANDERSON (M.D.) as active.
How should patients interpret CARROL L JR. ANDERSON (M.D.)'s specialty?
The extract shows Family Medicine Physician for CARROL L JR. ANDERSON (M.D.). Clinical services aligned with this taxonomy classification.
Is CARROL L JR. ANDERSON (M.D.) tied to Brownsville, Texas?
If you are local to Brownsville, Texas, CARROL L JR. ANDERSON (M.D.) may be relevant to your search.
Can I export CARROL L JR. ANDERSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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