KARL ANDERSEN D.O
NPI 1033564927
Internal Medicine - Pulmonary Disease in Pittsburgh, PA

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
9100 BABCOCK BLVD, PITTSBURGH, PA 15237(412) 748-5020(412) 367-3122 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Aug 17, 2023, Jun 14, 2023 and 1 more (4 updates tracked since 2018).

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

NPI1033564927
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKARL ANDERSENCredential: D.O
Location Address9100 BABCOCK BLVDPittsburgh, PA 15237-5815
Mailing Address9100 Babcock BlvdPittsburgh, PA 15237-5815 · (724) 771-0684
Fax(412) 367-3122
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2016
Enumeration DateApril 28, 2016
Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1033564927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · OS023829
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

9100 BABCOCK BLVD, Pittsburgh, PA 15237

Secondary Practice Locations 2

Location 141 Mall RdBurlington, MA 01805-0001 · Phone (781) 744-8000
Location 21775 Ballard RdPark Ridge, IL 60068 · Phone (847) 318-9340 · Fax (847) 318-2966

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

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.

PECOS PAC ID1153691282
PECOS Enrollment IDI20240712001000
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services41 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

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, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Physician 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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$28.93 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.

Radiology (Diagnostic Radiology)
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Dietitian, Registered
9100 BABCOCK BLVD, SUITE 3020
PITTSBURGH, PA 15237
Speech-Language Pathologist
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Physical Therapist
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Nurse Anesthetist, Certified Registered
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Nurse Anesthetist, Certified Registered
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Rehabilitation Unit
9100 BABCOCK BLVD
PITTSBURGH, PA 15237
Occupational Therapist
9100 BABCOCK BLVD
PITTSBURGH, PA 15237

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.

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 with the weekly NPPES data releases published by CMS.