JERRY M JR. ANDERSON (MD) – Obstetrics & Gynecology Physician, NPI 1356351688
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,037 OBSTETRICS/GYNECOLOGY in WA
Provider Addresses for JERRY M JR. ANDERSON (MD)
201 16TH AVE E
SEATTLE, WA 981125226
Phone: (206) 326-3000
Fax: (877) 515-2975
Type: Mailing
34509 9th Ave S
Ste 207
Federal Way, WA 980036700
Phone: (253) 815-9595
Fax: (253) 815-9797
Type: Location
1201 Terry Ave Fl 8
Seattle, WA 981012735
Phone: (206) 287-6300
Fax: (206) 341-1250
Type: Location
1201 TERRY AVE FL 8
SEATTLE, WA 981012735
Phone: (206) 287-6300
Fax: (206) 341-1250
Type: Mailing
34509, 9th Avenue South, Kitts Corner, Federal Way, King County, Washington, 98003, United States
STE 207
FEDERAL WAY, WA 980036700
Phone: (253) 815-9595
Fax: (253) 815-9797
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $520.
Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.
Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Organon LLC ($520).
Total Amount
$520
General + Research + Ownership
Payments
1
Total payment records
General Amount
$520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $520 |
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: 2015-07-23
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 |
|---|---|---|---|---|
| I20150723009749 | I | Obstetrics/Gynecology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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