ROBERT CRAIG ANDERSON CRNA NPI 1003010182

Nurse Anesthetist, Certified Registered in Apple Valley, CA

NPI 1003010182 Individual Male Years of Experience 21 Nurse Anesthetist, Certified Registered Accepts Medicare Approved Payment MIPS Quality Score 33.9

About ROBERT ANDERSON

Robert Anderson is a provider established in Apple Valley, California and his medical specialization is nurse anesthetist, certified registered with more than 21 years of experience. He graduated from Baylor College Of Medicine in 2001. The NPI number of Robert Anderson 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 14 years ago. 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 33.9, 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.

NPI

1003010182

Provider Name ROBERT CRAIG ANDERSON CRNA
Provider Location Address18300 US HIGHWAY 18 APPLE VALLEY, CA 92307
Provider Mailing AddressPO BOX 31001-1838 PASADENA, CA 91110
GenderMale
NPI Entity TypeIndividual
Medical School NameBAYLOR COLLEGE OF MEDICINE
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-13-2007
Last Update Date03-03-2008


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.RN467243
License StateCA
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.

Business Address

ROBERT CRAIG ANDERSON CRNA
18300 US HIGHWAY 18
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-2311

Get Directions


Mailing Address

ROBERT CRAIG ANDERSON CRNA
PO BOX 31001-1838
PASADENA, CA
ZIP 91110
Phone: (800) 394-4445



Medicare Participation

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.

PECOS PAC ID5496732463
PECOS Enrollment IDI20090811000657
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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% 0
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.
Promoting Interoperability (PI) 25% 66
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.
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.
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.
MIPS Final Score - 33.9
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)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Anderson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MASON GENERAL HOSPITAL & FAMILY OF CLINICS901 MT VIEW DRIVE
SHELTON, WA 98584
(360) 426-1611Critical Access Hospitals501336

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
RN4672430MEDICAID (05)CA
ZZZ06421ZMEDICARE PIN (08)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982605432RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
Organization
Radiology (Diagnostic Radiology)18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 242-2311
1740274380 NEIL GRANT JOHNSON M.D.
Individual
Neurological Surgery18300 US HIGHWAY 18 ST. MARY MEDICAL CENTER
APPLE VALLEY, CA 92307
(909) 881-6427
1124016589 MICHAEL B PESCE MD
Individual
Anesthesiology18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 946-8736
1659315729DR. KABIR AHMED M.D.
Individual
Anesthesiology18300 US HIGHWAY 18 ST MARY MEDICAL CENTER
APPLE VALLEY, CA 92307
(760) 242-2311
1184838880SAINT PHILOMENA INFANT CARE CORPORATION
Organization
Pediatrics (Neonatal-Perinatal Medicine)18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 946-5177
1649481763NEIL G. JOHNSON, M.D. INC.
Organization
Neurological Surgery18300 US HIGHWAY 18 C/O ST. MARY MEDICAL CENTER
APPLE VALLEY, CA 92307
(909) 881-6427
1225233349ANESTHESIA CONSULTANTS OF THE DESERT, INC
Organization
Anesthesiology18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 242-2311
1659554194 STEPHEN ANDERSON M.D
Individual
Emergency Medicine18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 242-2311
1043493703 NADIA C MIHALJCIC CRNA
Individual
Nurse Anesthetist, Certified Registered18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 946-8736
1578717302MRS. KIMBERLY SUE DEIMLING CNM
Individual
Advanced Practice Midwife18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 242-2311
1316185614CP NURSING ANESTHESIA SERVICES INC
Organization
Anesthesiologist Assistant18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 242-2311
1336389402 PAUL ROGERS P.A.
Individual
Physician Assistant18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 242-2311
1144461823MARILOU R. SOBRERA, M.D., INC.
Organization
Anesthesiology18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
(760) 242-2311
1689800559 MARIA D SAVALA-MAHANY MFT
Individual
Marriage & Family Therapist18300 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
1700194586HOSPITALIST MEDICINE PHYSICIANS OF SAN BERNARDINO COUNTY, INC.
Organization
Internal Medicine18300 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
1013216951MELINDA D. LABUGUEN, MD INC.
Organization
Pathology (Anatomic Pathology & Clinical Pathology)18300 US HIGHWAY 18 PATHOLOGY DEPARTMENT
APPLE VALLEY, CA 92307
(760) 946-8873

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.