THOMAS W ANDERSEN M.D.
NPI 1073597134
Family Medicine in Lititz, PA

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
562 W 2ND AVE, LITITZ, PA 17543(717) 626-2167(717) 626-1915 Get Directions Write a Review

NPPES record last updated: September 1, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas W Andersen M.d. NPPES

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

THOMAS W ANDERSEN M.D. (NPI 1073597134) is an individual family medicine provider in Lititz, Pennsylvania, licensed in Pennsylvania (MD033956E) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Temple University School Of Medicine (1984).

NPPES Registry Identity

NPI1073597134
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS W ANDERSENCredential: M.D.
Location Address562 W 2ND AVELititz, PA 17543-1816
Mailing Address562 W 2nd AveLititz, PA 17543-1816 · (717) 626-2167 · Fax (717) 626-1915
Fax(717) 626-1915
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1984
Enumeration DateDecember 2, 2005
Last NPPES UpdateSeptember 1, 2007
NPI 1073597134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD033956E
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

562 W 2ND AVE, Lititz, PA 17543

Other Identifiers 10

Medicare PIN053990JZEPA
Other01463001PA · Capital Blue Cross
Other51374 S1QGPA · Geisinger Health Plan
Medicaid0010881200004PA
Other1085320PA · Aetna Hmo
OtherC28533PA · Health Assurance
Other5491090PA · Aetna Non-hmo
Other053990PA · Highmark Blue Shield
Medicare UPINC28533PA
OtherP002651PA · Gateway Health Plan

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

Thomas W Andersen M.d. 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 ID3577699594
PECOS Enrollment IDI20100330000235
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 5

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.
564 services245 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
87 services86 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
84 services83 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.
50 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17543 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims37 services$5.87 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 15

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

Nurse Practitioner (Family)
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543
Counselor (Professional)
562 W 2ND AVE
LITITZ, PA 17543
Family Medicine
562 W 2ND AVE
LITITZ, PA 17543

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 Thomas Andersen's NPI number?

The NPI number for Thomas Andersen is 1073597134. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Thomas Andersen located?

Thomas Andersen practices at 562 W 2nd Ave, Lititz, PA 17543. The listed phone number is (717) 626-2167.

What is Thomas Andersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Andersen enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Andersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Thomas Andersen 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 Thomas Andersen affiliated with any hospitals?

According to CMS data, Thomas Andersen is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Andersen was last updated on September 1, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.