MR. JOHN E ANDERSON MD
NPI 1003801788
Internal Medicine in Nashville, TN

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
93.68/100
CMS Quality Rating
2400 PATTERSON ST, SUITE 400, NASHVILLE, TN 37203(615) 342-5900(615) 342-5912 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. John E Anderson Md NPPES

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

MR. JOHN E ANDERSON MD (NPI 1003801788) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (MD18613) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1986).

NPPES Registry Identity

NPI1003801788
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JOHN E ANDERSONCredential: MD
Location Address2400 PATTERSON ST, SUITE 400Nashville, TN 37203-1562
Mailing Address2400 Patterson St, Suite 400Nashville, TN 37203-1562 · (615) 342-5900 · Fax (615) 342-5912
Fax(615) 342-5912
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1986
Enumeration DateSeptember 19, 2005
Last NPPES UpdateApril 17, 2008
NPI 1003801788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · MD18613
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2400 PATTERSON ST, Nashville, TN 37203

Other Identifiers 4

Medicaid3043893TN
Medicaid64918618KY
Medicare ID-Type Unspecified3043895TN
Medicare UPIND93201TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. John E Anderson 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 ID2466646252
PECOS Enrollment IDI20101105000613
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.

Areas of Expertise CMS Part B claims 6

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 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.
272 services150 patients
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.
252 services163 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
180 services180 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
20 services20 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440046
Location111 Highway 70 EastDickson, TN 37055 · Dickson County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.57
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
74%438 patients4/55-star benchmark: 93%
Cervical Cancer Screening
35%364 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
84%1,069 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
85%831 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
6%264 patients5/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
63%793 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%504 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers33 claims99 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers22 claims38 services$1.08 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers62 claims62 services$172.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2400 PATTERSON ST, SUITE 215
NASHVILLE, TN 37203
Nurse Practitioner (Primary Care)
2400 PATTERSON ST, SUITE 400
NASHVILLE, TN 37203
Physician Assistant (Surgical)
2400 PATTERSON ST, SUITE 300
NASHVILLE, TN 37203
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2400 PATTERSON ST, SUITE 502
NASHVILLE, TN 37203
Nurse Practitioner (Acute Care)
2400 PATTERSON ST, SUITE 100
NASHVILLE, TN 37203
Neurological Surgery
2400 PATTERSON ST, SUITE 319
NASHVILLE, TN 37203
Physical Therapist
2400 PATTERSON ST, SUITE 100
NASHVILLE, TN 37203
Orthopaedic Surgery (Sports Medicine)
2400 PATTERSON ST, SUITE 102
NASHVILLE, TN 37203

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 John Anderson's NPI number?

The NPI number for John Anderson is 1003801788. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is John Anderson located?

John Anderson practices at 2400 Patterson St Suite 400, Nashville, TN 37203. The listed phone number is (615) 342-5900.

What is John Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Anderson enrolled in Medicare?

Yes. John 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.

What insurance does John Anderson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list John 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.

Is John Anderson affiliated with any hospitals?

According to CMS data, John Anderson is affiliated with Williamson Medical Center, Tristar Horizon Medical Center, Ascension Saint Thomas Hospital, Tristar Summit Medical Center and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for John Anderson was last updated on April 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.