KARL ANDERSEN D.O
NPI 1033564927
Internal Medicine - Pulmonary Disease in Pittsburgh, PA
About Karl Andersen D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARL ANDERSEN D.O (NPI 1033564927) is an individual pulmonary disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS023829) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Karl Andersen D.o 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.
Medicare Billing Reassignments
2Medicare enrollment records show Karl Andersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pittsburgh, PA 15237
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,182 clinicians in this Medicare group
Peabody, MA 01960
- Reassigned Medicare billing, Massachusetts enrollment
- 1,841 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Passavant
Acute Care Hospitals · Pittsburgh, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
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 Karl Andersen's NPI number?
The NPI number for Karl Andersen is 1033564927. It was assigned to this individual provider in the NPPES registry on April 28, 2016.
Where is Karl Andersen located?
Karl Andersen practices at 9100 Babcock Blvd, Pittsburgh, PA 15237. The listed phone number is (412) 748-5020.
What is Karl Andersen's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Karl Andersen enrolled in Medicare?
Yes. Karl Andersen 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.
Which organizations bill Medicare for Karl Andersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karl Andersen reassigns Medicare benefits to 2 organizations: Upmc Community Medicine Inc (Pittsburgh, PA) and Lahey Clinic, Inc (Peabody, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karl Andersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Karl Andersen affiliated with any hospitals?
According to CMS data, Karl Andersen is affiliated with Upmc Passavant.
When was this NPI record last updated?
The NPPES record for Karl Andersen was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Karl Andersen, D.O · NPI 1033564927
Pulmonary Disease physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 28, 2016.
## Identity
- **NPI:** 1033564927 (Entity type: Individual)
- **Enumerated:** April 28, 2016
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** OS023829 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 9100 BABCOCK BLVD, Pittsburgh, PA 15237-5815
- **Phone:** (412) 748-5020 · **Fax:** (412) 367-3122
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Upmc Community Medicine Inc (NPI 1619393022, Pittsburgh, PA); Lahey Clinic, Inc (NPI 1063447316, Peabody, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2016
## Record status
- **NPPES last updated:** August 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033564927) · Data from the CMS NPPES public registry.