DR. BRADLEY W ANDERSON MD
NPI 1053403105
Urology in South Lake Tahoe, CA
About Dr. Bradley W Anderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRADLEY W ANDERSON MD (NPI 1053403105) is an individual urology provider in South Lake Tahoe, California, licensed in California (C127871) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Bradley W 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.
Medicare Billing Reassignments
2Medicare enrollment records show Bradley Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hot Springs, SD 57747
- Reassigned Medicare billing, South Dakota enrollment
- 321 clinicians in this Medicare group
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota enrollment
- 831 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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDMonument Health Sturgis Hospital
Critical Access Hospitals · Sturgis, SDFall River Hospital - Cah
Critical Access Hospitals · Hot Springs, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96150 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 3
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 4
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 Bradley Anderson's NPI number?
The NPI number for Bradley Anderson is 1053403105. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Bradley Anderson located?
Bradley Anderson practices at 2169 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5400.
What is Bradley Anderson's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Bradley Anderson enrolled in Medicare?
Yes. Bradley 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.
Which organizations bill Medicare for Bradley Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Anderson reassigns Medicare benefits to 2 organizations: Monument Health Network, Inc. (Hot Springs, SD) and Monument Health Rapid City Hospital, Inc. (Spearfish, SD). 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 Bradley Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Anderson accept?
Health plans from Avera Health Plans, Oscar Insurance Company, Providence Health Plan, Sanford Health Plan and UnitedHealthcare and 1 other insurer list Bradley 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.
Is Bradley Anderson affiliated with any hospitals?
According to CMS data, Bradley Anderson is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Sturgis Hospital and Fall River Hospital - Cah.
When was this NPI record last updated?
The NPPES record for Bradley Anderson was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Bradley W Anderson, MD · NPI 1053403105
Urology physician in South Lake Tahoe, California. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1053403105 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** C127871 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2169 SOUTH AVE, South Lake Tahoe, CA 96150-7059
- **Phone:** (530) 543-5400 · **Fax:** (530) 544-1959
## 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): Monument Health Network, Inc. (NPI 1588185268, Hot Springs, SD); Monument Health Rapid City Hospital, Inc. (NPI 1255415246, Spearfish, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 1990
## Record status
- **NPPES last updated:** July 16, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1053403105) · Data from the CMS NPPES public registry.