JASON L ANDERSEN (DO) – Child & Adolescent Psychiatry Physician, NPI 1932293727
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
256 PSYCHIATRY in UT
Provider Addresses for JASON L ANDERSEN (DO)
97 S. PROFESSIONAL WAY
PAYSON, UT 84651
Phone: (801) 465-4896
Fax: (801) 465-3267
Type: Location
1215 S 1680 W
OREM, UT 840584939
Phone: (385) 277-0900
Fax: (801) 465-3267
Type: Location
415 6TH ST
Lewiston, ID 835018350
Phone: (208) 799-5700
Fax: (208) 799-5758
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846043305
Phone: (801) 465-4896
Fax: (801) 465-3267
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $6,143.
Total Amount is formed as General ($18) + Research ($6,126) + Ownership ($0) = $6,143.
Last reported payment date: 2023-06-02 • Largest payer in this snapshot: Orexo US, Inc. ($6,126).
Total Amount
$6,143
General + Research + Ownership
Payments
3
Total payment records
General Amount
$18
General payments
Research Amount
$6,126
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orexo US, Inc. | $6,126 |
| Otsuka America Pharmaceutical, Inc. | $18 |
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: 2016-10-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070130000713 | I | Psychiatry | UT | TBD |
| I20161011003259 | I | Psychiatry | ID | 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 84651)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | UT | |
| - | ID | |
| Interventional Radiology | WA | |
| Nurse Practitioner | WA | |
| Family Practice | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| H E M A T O L O G Y/ O N C O L O G Y | ID | |
| General Surgery | CO | |
| Orthopedic Surgery | ID |
Reviews
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