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DR. KENNETH MARK ANDERSON DDS,MS
NPI 1245316017
Dentist - Oral and Maxillofacial Pathology in Memphis, TN

Active since October 27, 2006PECOS Enrolled
875 UNION AVE, ROOM C309, MEMPHIS, TN 38163(901) 448-5876(901) 448-6835 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kenneth Mark Anderson Dds,ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH MARK ANDERSON DDS,MS (NPI 1245316017) is an individual oral and maxillofacial pathology provider in Memphis, Tennessee, licensed in Tennessee (DDS8053) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245316017
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. KENNETH MARK ANDERSONCredential: DDS,MS
Location Address875 UNION AVE, ROOM C309Memphis, TN 38163-0001
Mailing Address875 Union Ave Rm C309Memphis, TN 38163-2110 · (901) 448-2569 · Fax (901) 448-6835
Phone(901) 448-5876
Fax(901) 448-6835
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1245316017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in TN · DDS8053
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
875 UNION AVE, Memphis, TN 38163
Open in Google Maps ↗

Other Identifiers 1

Other4075323TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Mark Anderson Dds,ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Tennessee
Same address
Oral and Maxillofacial Pathology
875 UNION AVE, ROOM C309
Memphis, TN 38163
  • Reassigned Medicare billing, Tennessee enrollment
  • 54 clinicians in this Medicare group
NPI 1487723094 (901) 448-5876

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
287 services247 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38163 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN DOUGLAS SEEBERG D.M.D
Dentist
875 UNION AVE
MEMPHIS, TN 38163
Shelby County (901) 448-6267
DR. MARK RANDALL PATTERS DDS
Dentist (Periodontics)
875 UNION AVE, UNIV. OF TENNESSEE, COLLEGE OF DENTISTRY
MEMPHIS, TN 38163
Shelby County (901) 448-7686
DR. RUSSELL O GILPATRICK DDS
Dentist (General Practice)
875 UNION AVE
MEMPHIS, TN 38163
Shelby County (901) 448-6202
DR. MARK A LACKEY DMD
Dentist
875 UNION AVE
MEMPHIS, TN 38163
Shelby County (901) 448-1883
DR. EDDIE L BURTON D.D.S.
Dentist (General Practice)
875 UNION AVE, SUITE N228
MEMPHIS, TN 38163
Shelby County (901) 448-6611
DR. DANIEL F. TYLKA D.M.D.
Dentist (Orofacial Pain)
875 UNION AVE, UTHSC COLLEGE OF DENTISTRY - UDFP
MEMPHIS, TN 38163
Shelby County (901) 448-6930
DR. LAWRENCE W WEEDA JR. DDS
Dentist (Oral and Maxillofacial Surgery)
875 UNION AVE, ROOM N-328
MEMPHIS, TN 38163
Shelby County (901) 448-6236
GERALDINE NAVARRETE DMD
Student in an Organized Health Care Education/Training Program
875 UNION AVE
MEMPHIS, TN 38163
Shelby County (917) 741-5077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Anderson's NPI number?

The NPI number for Kenneth Anderson is 1245316017. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Kenneth Anderson located?

Kenneth Anderson practices at 875 Union Ave Room C309, Memphis, TN 38163. The listed phone number is (901) 448-5876.

What is Kenneth Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Kenneth Anderson enrolled in Medicare?

Yes. Kenneth Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Anderson reassigns Medicare benefits to University Of Tennessee (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Anderson accept?

Health plans from BlueCross BlueShield of Tennessee and Humana list Kenneth Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Anderson was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.