LORRAINE ANDERSON MD
NPI 1013209568
Allergy & Immunology in Santa Monica, CA

Active since May 03, 2011PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
1245 16TH ST STE 303, SANTA MONICA, CA 90404(310) 481-4646(310) 899-7599 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, Jul 26, 2017 (2 updates tracked since 2017).

About Lorraine Anderson Md NPPES

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

LORRAINE ANDERSON MD (NPI 1013209568) is an individual allergy & immunology provider in Santa Monica, California, licensed in California (A121140) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2010).

NPPES Registry Identity

NPI1013209568
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameLORRAINE ANDERSONCredential: MD
Location Address1245 16TH ST STE 303Santa Monica, CA 90404-1265
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 899-7599
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2010
Enumeration DateMay 3, 2011
Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration
NPI 1013209568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in CA · A121140
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X · License A121140 (CA)
1245 16TH ST STE 303, Santa Monica, CA 90404

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

Lorraine 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 ID4587809561
PECOS Enrollment IDI20130321000542
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 7

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,044 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services74 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 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.
50 services44 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
44 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
4 suppliers49 claims169 services$18.23 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers24 claims10,500 services$11.71 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers26 claims9,460 services$9.48 avg. paid by Medicare
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers13 claims780 services$33.11 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
4 suppliers48 claims239 services$2.36 avg. paid by Medicare
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims12 services$307.91 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 3

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

Allergy & Immunology
1245 16TH ST STE 303
SANTA MONICA, CA 90404
Allergy & Immunology
1245 16TH ST STE 303
SANTA MONICA, CA 90404
Allergy & Immunology
1245 16TH ST STE 303
SANTA MONICA, CA 90404

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 Lorraine Anderson's NPI number?

The NPI number for Lorraine Anderson is 1013209568. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Lorraine Anderson located?

Lorraine Anderson practices at 1245 16th St Ste 303, Santa Monica, CA 90404. The listed phone number is (310) 481-4646.

What is Lorraine Anderson's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Lorraine Anderson enrolled in Medicare?

Yes. Lorraine 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.

When was this NPI record last updated?

The NPPES record for Lorraine Anderson was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.