DR. MARK IAN ANDERSON (M.D.) – Urology Physician, NPI 1215900303
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
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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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PROCEPT BioRobotics Corporation | $306 |
| EDAP TECHNOMED INC | $201 |
| Progenics Pharmaceuticals, Inc. | $159 |
| COLOPLAST CORP | $142 |
| Myriad Genetic Laboratories, Inc. | $82 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110224000924 | I | Urology | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 365 | 283 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 176 | 160 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 163 | 150 | $0 |
| 51702 | Simple insertion of temporary bladder tube | 162 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 147 | 147 | $0 |
Insurance plans in this area (ZIP 98335)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
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