DR. JAMES EDWARD ANDERSON (MD) – Interventional Cardiology Physician, NPI 1528002698
Interventional Cardiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,930 INTERNAL MEDICINE in VA
Provider Addresses for DR. JAMES EDWARD ANDERSON (MD)
351 Valley Health Way # 200
Front Royal, VA 226306480
Phone: (540) 636-0600
Fax: (540) 636-0629
Type: Location
Medical Office Bldg I, 1870, Amherst Street, Winchester, Winchester City, Virginia, 22601, United States
SUITE 100 AND SUITE 200
WINCHESTER, VA 226012872
Phone: (540) 662-0306
Fax: (855) 264-2066
Type: Location
1880 AMHERST STREET
SUITE 100 AND SUITE 200
WINCHESTER, VA 226012872
Phone: (540) 662-0306
Fax: (855) 264-2066
Type: Location
100, Campus Boulevard, Winchester, Frederick County, Virginia, 22601, United States
WINCHESTER, VA 226012888
Phone: (540) 536-5100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $211.
Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Cook Medical LLC ($94).
Total Amount
$211
General + Research + Ownership
Payments
5
Total payment records
General Amount
$211
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
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: 2010-01-06
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 |
|---|---|---|---|---|
| I20090630000116 | I | Cardiovascular Disease (Cardiology) | VA | TBD |
| I20100106000002 | I | Cardiovascular Disease (Cardiology) | WV | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 337 | 334 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 213 | 212 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 140 | 35 | $0 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 126 | 63 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 117 | 108 | $0 |
Insurance plans in this area (ZIP 22630)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | VA | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 12 | 12 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | VA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 117 | 86 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | VA | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WV | |
| Internal Medicine | PA | |
| Nurse Practitioner | WV | |
| - | WV | |
| - | VA | |
| Nurse Practitioner | WV | |
| Cardiovascular Disease (Cardiology) | VA | |
| Family Practice | VA | |
| - | VA | |
| - | VA |
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