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KENNETH E ANDERSON JR. MD
NPI 1982679932
Pain Medicine - Pain Medicine in Sherman, TX

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
500 E PEYTON ST, SHERMAN, TX 75090(903) 893-6000(903) 868-1802 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2019, Jul 11, 2019 (2 updates tracked since 2019).

About Kenneth E Anderson Jr. Md NPPES

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

KENNETH E ANDERSON JR. MD (NPI 1982679932) is an individual pain medicine provider in Sherman, Texas, licensed in Texas (L6764) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1982679932
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameKENNETH E ANDERSON JR.Credential: MD
Location Address500 E PEYTON STSherman, TX 75090-0200
Mailing AddressPo Box 837Howe, TX 75459-0837 · (903) 893-6000 · Fax (903) 868-1802
Phone(903) 893-6000
Fax(903) 868-1802
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 22, 2006
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
✔ NPI 1982679932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in TX · L6764
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedSpecialistTaxonomy 174400000X · License L6764 (TX)
500 E PEYTON ST, Sherman, TX 75090
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Other Identifiers 4

Medicaid161185701TX
Medicaid200019230AOK
Other8B1207TX · Bcbs Prov #
Other0044STBcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth E Anderson Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335286855
PECOS Enrollment IDI20100114000112
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 Reassignments

2

Medicare enrollment records show Kenneth Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kenneth E. Anderson Jr. M.D. P.A.
Same address
Anesthesiology
500 E PEYTON ST
Sherman, TX 75090
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1821328451 (903) 893-6000
New Horizons Advanced Wound Care LLC
Same address
General Practice
500 E PEYTON ST STE 200
Sherman, TX 75090
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1396505517 (903) 821-6757

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
431 services70 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
319 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
156 services61 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
143 services59 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
72 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75090 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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 4

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

JENNIFER GRAXIOLA FNP
Nurse Practitioner
500 E PEYTON ST
SHERMAN, TX 75090
Grayson County (903) 893-6000
ADVANCED LABORATORY SERVICES LLC
Clinical Medical Laboratory
500 E PEYTON ST
SHERMAN, TX 75090
Grayson County (903) 487-0598
KENNETH E. ANDERSON JR. M.D. P.A.
Anesthesiology
500 E PEYTON ST
SHERMAN, TX 75090
Grayson County (903) 893-6000
HEIDI MARIE HOWARD
Physical Therapist
500 E PEYTON ST
SHERMAN, TX 75090
Grayson County (903) 893-6000

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 1982679932. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Kenneth Anderson located?

Kenneth Anderson practices at 500 E Peyton St, Sherman, TX 75090. The listed phone number is (903) 893-6000.

What is Kenneth Anderson's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Kenneth Anderson enrolled in Medicare?

Yes. Kenneth Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kenneth Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Anderson reassigns Medicare benefits to 2 organizations: Kenneth E. Anderson Jr. M.D. P.A. (Sherman, TX) and New Horizons Advanced Wound Care LLC (Sherman, TX). Each 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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers 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 October 30, 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.