DR. RUDOLPH CLINTON JR. ANDERSON (DPM) – Podiatrist, NPI 1275526501
Podiatrist
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
433 PODIATRY in VA
Provider Addresses for DR. RUDOLPH CLINTON JR. ANDERSON (DPM)
5241, Princess Anne Road, Kempsville Gardens, Kempsville, Virginia Beach, Virginia, 23462, United States
#102
VIRGINIA BEACH, VA 234626310
Phone: (757) 497-0859
Fax: (757) 497-0976
Type: Mailing
1600 N BEAUREGARD ST STE 300
ALEXANDRIA, VA 223111732
Phone: (703) 940-3810
Fax: (703) 940-3811
Type: Location
Princess Anne Road, Hills Corner, Virginia Beach, Virginia, United States
#102
VIRGINIA BEACH, VA 234626310
Phone: (757) 497-0859
Fax: (757) 497-0976
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $334.
Total Amount is formed as General ($334) + Research ($0) + Ownership ($0) = $334.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($169).
Total Amount
$334
General + Research + Ownership
Payments
14
Total payment records
General Amount
$334
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
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: 2010-09-16
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 |
|---|---|---|---|---|
| I20100916000172 | I | Podiatry | DC | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 357 | 132 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 214 | 159 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 117 | 117 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 61 | 61 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 55 | 30 | $0 |
Insurance plans in this area (ZIP 23462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Nurse Practitioner | VA | |
| - | DC | |
| Internal Medicine | VA | |
| Internal Medicine | VA | |
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | VA |
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