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LYDIA J ANDERS R PAC
NPI 1093782542
Physician Assistant - Medical in Camillus, NY

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
99.75/100
CMS Quality Rating
5700 W GENESEE ST, SUITE 132, CAMILLUS, NY 13031(315) 487-5858(315) 487-1950 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia J Anders R Pac NPPES

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

LYDIA J ANDERS R PAC (NPI 1093782542) is an individual medical provider in Camillus, New York, licensed in New York (010011) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1093782542
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLYDIA J ANDERSCredential: R PAC
Location Address5700 W GENESEE ST, SUITE 132Camillus, NY 13031-3200
Mailing AddressPo Box 2003East Syracuse, NY 13057-4503 · (315) 446-3904 · Fax (315) 445-2936
Phone(315) 487-5858
Fax(315) 487-1950
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 3, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1093782542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 010011
5700 W GENESEE ST, Camillus, NY 13031
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINPENDING

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

Lydia J Anders R Pac 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 ID648287805
PECOS Enrollment IDI20060315000628
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 2

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 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.
206 services202 patients
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.
145 services138 patients

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.

99.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability99
Improvement Activities40
Cost100

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.

SURGICAL CARE WEST, PLLC
Specialist
5700 W GENESEE ST, STE. 201N
CAMILLUS, NY 13031
Onondaga County (315) 488-5588
DENNIS DAVID DALY MD
Family Medicine
5700 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 487-1573
IMMEDIATE MEDICAL CARE ASSOCIATES, PLLC
Clinic/Center (Emergency Care)
5700 W GENESEE ST, SUITE 100 SOUTH
CAMILLUS, NY 13031
Onondaga County (315) 488-6393
MARK S POTENZA MD
Surgery (Plastic and Reconstructive Surgery)
5700 W GENESEE ST, STE 132
CAMILLUS, NY 13031
Onondaga County (315) 487-5858
SUSAN SCHEFTIC
Durable Medical Equipment & Medical Supplies
5700 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 468-9743
ROBIN MEREDITH GREENBERG DPT
Physical Therapist
5700 W GENESEE ST, SUITE 2S
CAMILLUS, NY 13031
Onondaga County (315) 468-1050
SUSAN SCHEFTICS MASTECTOMY BOUTIQUE
Durable Medical Equipment & Medical Supplies
5700 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 468-9743
CAMILLUS PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
5700 W GENESEE ST, SUITE 2S
CAMILLUS, NY 13031
Onondaga County (315) 452-5580

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 Lydia Anders's NPI number?

The NPI number for Lydia Anders is 1093782542. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Lydia Anders located?

Lydia Anders practices at 5700 W Genesee St Suite 132, Camillus, NY 13031. The listed phone number is (315) 487-5858.

What is Lydia Anders's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lydia Anders enrolled in Medicare?

Yes. Lydia Anders 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.

When was this NPI record last updated?

The NPPES record for Lydia Anders was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.