BETH A. ANDERSEN (MD) – Pediatric Urology Physician, NPI 1750465472
Pediatric Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
317 UROLOGY in WA
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Provider Addresses for BETH A. ANDERSEN (MD)
PO BOX 84026
SEATTLE, WA 981248426
Phone: (206) 215-2700
Type: Mailing
800, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SEATTLE, WA 981041307
Phone: (206) 215-2700
Fax: (206) 215-2702
Type: Location
1101 Madison St Ste 800
Seattle, WA 981041307
Phone: (206) 215-2700
Fax: (206) 215-2702
Type: Location
3716 Standridge Dr
The Colony, TX 750564566
Phone: (469) 249-9000
Type: Location
9300 Valley Childrens Pl # Sc05
Madera, CA 936368761
Phone: (559) 353-5700
Type: Location
305 E Jefferson St
Boise, ID 837126231
Phone: (208) 381-6196
Fax: (208) 381-6199
Type: Location
501 N Graham St Ste 300
Portland, OR 972272008
Phone: (503) 413-4300
Type: Location
2219 BROADWAY E
SEATTLE, WA 981024135
Phone: (206) 499-9585
Type: Mailing
2100 CLINCH AVE STE 120
KNOXVILLE, TN 379162288
Phone: (865) 637-7290
Type: Location
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 $123.
Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.
Last reported payment date: 2023-03-01 • Largest payer in this snapshot: ABBVIE INC. ($123).
Total Amount
$123
General + Research + Ownership
Payments
1
Total payment records
General Amount
$123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $123 |
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: 2025-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20120124000411 | I | Pediatric Medicine | WA | TBD |
| I20250117002452 | I | Pediatric Medicine | OR | TBD |
| I20250423003765 | I | Urology | ID | 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 98124)
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