MR. SCOTT EDWARD ANDERSON (PA-C) – Physician Assistant, NPI 1497897748
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MR. SCOTT EDWARD ANDERSON (PA-C)
24018 Highway 59 N
Kingwood, TX 773391536
Phone: (281) 446-4878
Type: Location
1719 S CANOE CREEK DR
COLORADO SPRINGS, CO 809067755
Phone: (719) 210-5051
Type: Mailing
DIRAIMONDO TROOP MEDICAL CLINIC #9
FORT CARSON, CO 80913
Phone: (719) 210-5051
Type: Location
15726 HERMITAGE OAKS DR
TOMBALL, TX 773778632
Phone: (832) 702-9172
Type: Mailing
111 VISION PARK BLVD STE 100
SHENANDOAH, TX 773843003
Phone: (713) 714-1399
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $1,756.
Total Amount is formed as General ($1,756) + Research ($0) + Ownership ($0) = $1,756.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Abbott Laboratories ($652).
Total Amount
$1,756
General + Research + Ownership
Payments
86
Total payment records
General Amount
$1,756
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-01-07
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 |
|---|---|---|---|---|
| I20160107000934 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Anesthesiology, Interventional Pain Management, Pain Management | TX | |
| Interventional Pain Management, Anesthesiology, Pain Management | TX | |
| Anesthesiology, Pain Management | TX |
Reviews
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