MARIE B ANDERSON P.A.
NPI 1013916774
Physician Assistant in Athens, GA

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
97.15/100
CMS Quality Rating
120 TRINITY PL, ATHENS, GA 30607(706) 543-2718(706) 353-3709 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marie B Anderson P.a. NPPES

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

MARIE B ANDERSON P.A. (NPI 1013916774) is an individual physician assistant in Athens, Georgia, licensed in Georgia (002031) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1987).

NPPES Registry Identity

NPI1013916774
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIE B ANDERSONCredential: P.A.
Location Address120 TRINITY PLAthens, GA 30607-2100
Mailing Address120 Trinity PlAthens, GA 30607-2100 · (706) 543-2718 · Fax (706) 353-3709
Fax(706) 353-3709
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1987
Enumeration DateJuly 15, 2005
Last NPPES UpdateDecember 8, 2009
NPI 1013916774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 002031
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
120 TRINITY PL, Athens, GA 30607

Other Identifiers 1

Medicare ID-Type Unspecified100000531AGA

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

Marie B Anderson P.a. 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 ID4880868355
PECOS Enrollment IDI20111118000036
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 12

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
125 services94 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.
103 services90 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.
97 services85 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
62 services55 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
27 services26 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30607 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

97.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.67
Improvement Activities40
Cost96.28

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier17 claims2,820 services$6.10 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 9

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

Physician Assistant
120 TRINITY PL
ATHENS, GA 30607
Urology
120 TRINITY PL
ATHENS, GA 30607
Specialist
120 TRINITY PL
ATHENS, GA 30607
Nurse Practitioner (Family)
120 TRINITY PL
ATHENS, GA 30607
Nurse Practitioner
120 TRINITY PL
ATHENS, GA 30607
Specialist
120 TRINITY PL
ATHENS, GA 30607
Clinic/Center (Ambulatory Surgical)
120 TRINITY PL
ATHENS, GA 30607
Urology
120 TRINITY PL
ATHENS, GA 30607

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 Marie Anderson's NPI number?

The NPI number for Marie Anderson is 1013916774. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Marie Anderson located?

Marie Anderson practices at 120 Trinity Pl, Athens, GA 30607. The listed phone number is (706) 543-2718.

What is Marie Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marie Anderson enrolled in Medicare?

Yes. Marie 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 Marie Anderson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Marie 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 Marie Anderson was last updated on December 8, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.