ROBERT CRAIG ANDERSON CRNA NPI 1003010182
Nurse Anesthetist, Certified Registered in Apple Valley, CA
About ROBERT CRAIG ANDERSON CRNA
Robert Anderson is a provider established in Apple Valley, California and his medical specialization is Nurse Anesthetist, Certified Registered with more than 22 years of experience. He graduated from Baylor College Of Medicine in 2001. The NPI number of this provider is 1003010182 and was assigned on June 2007. The practitioner's primary taxonomy code is 367500000X with license number RN467243 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
| NPI | 1003010182 |
| Provider Name | ROBERT CRAIG ANDERSON CRNA |
| Location Address | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 |
| Location Phone | (760) 242-2311 |
| Mailing Address | PO BOX 31001-1838 PASADENA, CA 91110 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-13-2007 |
| Last Update Date | 03-03-2008 |
Robert Anderson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.62 for a new patient copayment and $27.27 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 367500000X |
| Classification | Nurse Anesthetist, Certified Registered |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | RN467243 |
| License State | CA |
| Taxonomy Description | (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
18300 US HIGHWAY 18
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-2311
Mailing Address
PO BOX 31001-1838
PASADENA, CA
ZIP 91110
Phone: (800) 394-4445
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 92307 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $61.61 | $185.98 | $94.51 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.4 | $46.49 | $23.62 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $19.38 | $152.12 | $109.08 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.84 | $38.03 | $27.27 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 85.6 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 87.7 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 20Anesthesia for lens surgery (HCPCS:00142)
- 12Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| RN4672430 | MEDICAID (05) | CA |
| ZZZ06421Z | MEDICARE PIN (08) | CA |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 0 | 1 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 0 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 0 + 1 + 1 + 6 + 24 = 38 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 38 = 2 | 2 | ||||||||
The NPI number 1003010182 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740274380 | NEIL GRANT JOHNSON M.D. Individual | Neurological Surgery | 18300 US HIGHWAY 18 ST. MARY MEDICAL CENTER APPLE VALLEY, CA 92307 (909) 881-6427 |
| 1659315729 | DR. KABIR AHMED M.D. Individual | Anesthesiology | 18300 US HIGHWAY 18 ST MARY MEDICAL CENTER APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1184838880 | SAINT PHILOMENA INFANT CARE CORPORATION Organization | Pediatrics (Neonatal-Perinatal Medicine) | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 946-5177 |
| 1649481763 | NEIL G. JOHNSON, M.D. INC. Organization | Neurological Surgery | 18300 US HIGHWAY 18 C/O ST. MARY MEDICAL CENTER APPLE VALLEY, CA 92307 (909) 881-6427 |
| 1659554194 | STEPHEN ANDERSON M.D Individual | Emergency Medicine | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1043493703 | NADIA C MIHALJCIC CRNA Individual | Nurse Anesthetist, Certified Registered | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 946-8736 |
| 1578717302 | MRS. KIMBERLY SUE DEIMLING CNM Individual | Advanced Practice Midwife | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1316185614 | CP NURSING ANESTHESIA SERVICES INC Organization | Anesthesiologist Assistant | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1336389402 | PAUL ROGERS P.A. Individual | Physician Assistant | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1144461823 | MARILOU R. SOBRERA, M.D., INC. Organization | Anesthesiology | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1689800559 | MARIA D SAVALA-MAHANY MFT Individual | Marriage & Family Therapist | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1982939302 | MARSHALL ROY KOON PA-C Individual | Physician Assistant (Medical) | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1821318106 | REGINA IMELDA HOJILLA DE LUNA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 946-8873 |
| 1700194586 | HOSPITALIST MEDICINE PHYSICIANS OF SAN BERNARDINO COUNTY, INC. Organization | Internal Medicine | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (330) 493-4443 |
| 1861775611 | TAIT NIELSON CHRISTENSEN PA-C Individual | Physician Assistant (Medical) | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
| 1902860513 | MELINDA D. LABUGUEN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 18300 US HIGHWAY 18 PATHOLOGY DEPARTMENT APPLE VALLEY, CA 92307 (760) 946-8873 |
| 1013216951 | MELINDA D. LABUGUEN, MD INC. Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 18300 US HIGHWAY 18 PATHOLOGY DEPARTMENT APPLE VALLEY, CA 92307 (760) 946-8873 |
| 1366783003 | MS. ROSALIA LOUISE ROCHON RD Individual | Dietitian, Registered | 18300 US HIGHWAY 18 SUITE 100 APPLE VALLEY, CA 92307 (760) 946-8169 |
| 1427071281 | MS. CLAUDIA LYNN HALL FNP Individual | Nurse Practitioner (Family) | 18300 US HIGHWAY 18 MAIL CODE 118 APPLE VALLEY, CA 92307 (858) 752-1541 |
| 1356744221 | SAMEELAH REED PA-C Individual | Physician Assistant | 18300 US HIGHWAY 18 APPLE VALLEY, CA 92307 (760) 242-2311 |
Frequently Asked Questions
What is Robert Anderson CRNA NPI number?
The NPI number assigned to this healthcare provider is 1003010182, registered as an "individual" on June 13, 2007
Where is Robert Anderson CRNA located?
The provider is located at 18300 Us Highway 18 Apple Valley, Ca 92307 and the phone number is (760) 242-2311
Which is Robert Anderson CRNA specialty?
The provider's speciality is Nurse Anesthetist, Certified Registered
How many years of experience does Robert Anderson CRNA have?
The provider has more than 22 years of experience. He graduated from Baylor College Of Medicine in 2001.
What insurance does Robert Anderson CRNA accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
What are Robert Anderson CRNA Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Robert Anderson CRNA?
Medicare beneficiaries should expect a typical cost of $94.51 with an average copayment of $23.62 for new patient appointments. Established patients should expect a typical charge of $109.08 and an average copayment of 27.27. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Robert Anderson CRNA?
The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery and Ultrasonic guidance imaging supervision and interpretation for insertion of needle.
How do I update my NPI information?
The NPI record of Robert Anderson CRNA was last updated on June 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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