DR. ANDREW R ANDERSON OD
NPI 1104854942
Optometrist in Mishawaka, IN

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
89.85/100
CMS Quality Rating
230 E DAY RD, 100, MISHAWAKA, IN 46545(574) 271-3939(574) 271-3941 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrew R Anderson Od NPPES

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

DR. ANDREW R ANDERSON OD (NPI 1104854942) is an individual optometrist in Mishawaka, Indiana, licensed in Indiana (18003399A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Indiana University - School Of Optometry (2006).

NPPES Registry Identity

NPI1104854942
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW R ANDERSONCredential: OD
Location Address230 E DAY RD, 100Mishawaka, IN 46545-3408
Mailing Address230 E Day Rd, 100Mishawaka, IN 46545-3408 · (574) 271-3939 · Fax (574) 271-3941
Fax(574) 271-3941
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2006
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 17, 2013
NPI 1104854942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18003399A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
230 E DAY RD, Mishawaka, IN 46545

Other Identifiers 5

Medicaid200828350IN
Other1104854942IN · Npi
Other18003399AIN · Indiana License Number
Medicare UPINV10721IN
Medicare PINM400015259IN

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

Dr. Andrew R Anderson Od 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 ID648279745
PECOS Enrollment IDI20061219000559
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 8

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.
222 services132 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
169 services169 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
76 services67 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
62 services61 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.
50 services48 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
47 services43 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

89.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.18

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.

Optometrist
230 E DAY RD, STE 100
MISHAWAKA, IN 46545
Orthopaedic Surgery
230 E DAY RD, SUITE 130
MISHAWAKA, IN 46545
Counselor (Mental Health)
230 E DAY RD, STE 160
MISHAWAKA, IN 46545
Ophthalmology
230 E DAY RD, 100
MISHAWAKA, IN 46545
Psychologist (Clinical)
230 E DAY RD, # 160
MISHAWAKA, IN 46545
Ophthalmology
230 E DAY RD, 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD, 100
MISHAWAKA, IN 46545
Obstetrics & Gynecology
230 E DAY RD, SUITE 180
MISHAWAKA, IN 46545

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 Andrew Anderson's NPI number?

The NPI number for Andrew Anderson is 1104854942. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Andrew Anderson located?

Andrew Anderson practices at 230 E Day Rd 100, Mishawaka, IN 46545. The listed phone number is (574) 271-3939.

What is Andrew Anderson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Andrew Anderson enrolled in Medicare?

Yes. Andrew 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.

What insurance does Andrew Anderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Andrew 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 Andrew Anderson affiliated with any hospitals?

According to CMS data, Andrew Anderson is affiliated with Saint Joseph Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Anderson was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.