ANDREW DAVID LADNER MD
NPI 1033111497
Internal Medicine in Village Of Golf, FL

Q: What is Andrew Ladner's NPI number?

The NPI number for Andrew Ladner is 1033111497. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Andrew Ladner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Ladner was last updated on November 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2005PECOS Enrolled

75/100

CMS Quality Rating

1 COUNTRY RD E, VILLAGE OF GOLF, FL 33436(561) 736-1805(561) 736-1806 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2019, Apr 27, 2017 (2 updates tracked since 2017).

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About Andrew David Ladner Md NPPES

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

ANDREW DAVID LADNER MD (NPI 1033111497) is an individual internal medicine provider in Village Of Golf, Florida, licensed in Florida (ME0048554) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of George Washington University School Of Medicine (1981).

NPPES Registry Identity

NPI1033111497

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameANDREW DAVID LADNERCredential: MD

Location Address1 COUNTRY RD EVillage Of Golf, FL 33436-5611

Mailing Address1 Country Rd EVillage Of Golf, FL 33436-5611 · (561) 736-1805 · Fax (561) 736-1806

Phone(561) 736-1805

Fax(561) 736-1806

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 1981

Enumeration DateAugust 15, 2005

Last NPPES UpdateNovember 12, 20192 updates tracked since enumeration

✔ NPI 1033111497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME0048554

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.

1 COUNTRY RD E, Village Of Golf, FL 33436

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Other Identifiers 1

Medicaid252510100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew David Ladner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608843065

PECOS Enrollment IDI20110322000357

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 15

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.

945 services189 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.

314 services127 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

181 services41 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

160 services81 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.

134 services97 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

120 services95 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

114 services93 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.

102 services102 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

61 services22 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

55 services20 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

52 services22 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

44 services26 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

21 services21 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.

20 services20 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100002

Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County

Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100168

Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33436 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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

Air fluidized bed E0194

DME-Other DME · category DE000N

1 supplier19 claims19 services$2,293.14 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers11 claims11 services$54.24 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

3 suppliers72 claims72 services$46.15 avg. paid by Medicare

Powered pressure-reducing air mattress E0277

DME-Hospital Beds · category DB000N

2 suppliers72 claims72 services$169.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 2

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

INTEGRATED MEDICAL DIRECTION

Internal Medicine

1 COUNTRY RD E
VILLAGE OF GOLF, FL 33436

Palm Beach County (561) 272-5007

ON-SITE WOUND CONSULTANTS P.A

Specialist

1 COUNTRY RD E
VILLAGE OF GOLF, FL 33436

Palm Beach County (561) 272-5007

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 Andrew Ladner's NPI number?

The NPI number for Andrew Ladner is 1033111497. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Andrew Ladner located?

Andrew Ladner practices at 1 Country Rd E, Village Of Golf, FL 33436. The listed phone number is (561) 736-1805.

What is Andrew Ladner's specialty?

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

Is Andrew Ladner enrolled in Medicare?

Yes. Andrew Ladner is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Ladner accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Andrew Ladner 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 Andrew Ladner affiliated with any hospitals?

According to CMS data, Andrew Ladner is affiliated with Bethesda Hospital Inc and Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Ladner was last updated on November 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.