DR. MARK IAN ANDERSON (M.D.) – Urology Physician, NPI 1215900303

DR. MARK IAN ANDERSON (M.D.) is a healthcare provider. based in Gig harbor, Washington. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 01053155A (IN). The NPI Number for DR. MARK IAN ANDERSON (M.D.) is 1215900303

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK IAN ANDERSON (M.D.)
NPI
1215900303
Phone
(254) 833-1473
Address
4810 PT FSDICK DR NW # 504
Enumeration Date
9 February 2006
Last Update Date
12 November 2020

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
5092996967
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20110224000924
Address ID
WA983351706GI4700XDRXX400
Telehealth
Yes

Contacts

Secure Messaging
manderson60579@fhsce.catholichealth.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

317 UROLOGY in WA

Provider Addresses for DR. MARK IAN ANDERSON (M.D.)

  • 4810 PT FSDICK DR NW # 504

    GIG HARBOR, WA 983351711

    Phone: (254) 833-1473

    Type: Mailing

  • 450 S KITSAP BLVD STE 210

    PORT ORCHARD, WA 983663738

    Phone: (360) 895-8950

    Fax: (360) 895-8980

    Type: Mailing

  • 450, South Kitsap Boulevard, Port Orchard, Kitsap County, Washington, 98366, United States

    FRANCISCAN UROLOGY ASSOCIATES, SUITE 210

    PORT ORCHARD, WA 983670001

    Phone: (360) 895-8950

    Fax: (360) 895-8980

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,046.

Total Amount is formed as General ($1,046) + Research ($0) + Ownership ($0) = $1,046.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($306).

Total Amount

$1,046

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,046

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-02-24

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
I20110224000924IUrologyWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes365283$0
52000Diagnostic exam of bladder and urethra using an endoscope176160$0
51798Ultrasound measurement of bladder capacity after voiding163150$0
51702Simple insertion of temporary bladder tube16242$0
99204New patient office or other outpatient visit, 45-59 minutes147147$0
View full utilization report →

Insurance plans in this area (ZIP 98335)

Loading plans...

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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference DR. MARK IAN ANDERSON (M.D.)?
For DR. MARK IAN ANDERSON (M.D.), use NPI 1215900303 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MARK IAN ANDERSON (M.D.)?
You should see DR. MARK IAN ANDERSON (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. MARK IAN ANDERSON (M.D.)?
DR. MARK IAN ANDERSON (M.D.)'s record emphasizes Urology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARK IAN ANDERSON (M.D.) associated with Gig Harbor?
Public fields place DR. MARK IAN ANDERSON (M.D.) around Gig Harbor, Washington. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

Similar Providers

6401, Kimball Drive, Harbor Heights, Gig Harbor, Pierce County, Washington, 98335, United States
NPI: 1770567893
Kimball Drive, Harbor Heights, Gig Harbor, Pierce County, Washington, 98335, United States
NPI: 1982637948

CHRISTOPHER TEPERA (M.D.)

Urology Physician
Naval Hospital Camp Lejeune, 100, Brewster Boulevard, Marine Corps Base Camp Lejeune, Onslow County, North Carolina, 28547, United States
NPI: 1194980565

FMG Hospitalist Urology

Urology Physician
PO BOX 34935
NPI: 1376874131

FMG Hospitalist Urology

Urology Physician
PO BOX 34935
NPI: 1558692319
9704, Woodworth Avenue, Gig Harbor, Pierce County, Washington, 98332, United States
NPI: 1114242898
6401 KIMBALL DR
NPI: 1902115330
6401 KIMBALL DR
NPI: 1437469368
3108 E BAY DR NW
NPI: 1043579980