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JOHN ANTHONY ANDERSON MD
NPI 1174841258
Orthopaedic Surgery - Sports Medicine in Winter Park, FL

Active since May 13, 2010PECOS EnrolledAccepts Medicare Assignment
77.92/100
CMS Quality Rating
255 N LAKEMONT AVE STE 207, WINTER PARK, FL 32792(844) 407-4070(407) 743-3050 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2022, Nov 10, 2015 (2 updates tracked since 2015).

About John Anthony Anderson Md NPPES

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

JOHN ANTHONY ANDERSON MD (NPI 1174841258) is an individual sports medicine provider in Winter Park, Florida, licensed in Florida (ME149394) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174841258
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJOHN ANTHONY ANDERSONCredential: MD
Location Address255 N LAKEMONT AVE STE 207Winter Park, FL 32792-3219
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (609) 677-7003 · Fax (267) 339-3761
Phone(844) 407-4070
Fax(407) 743-3050
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 13, 2010
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1174841258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · ME149394
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License MD446593 (PA)
255 N LAKEMONT AVE STE 207, Winter Park, FL 32792
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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

John Anthony 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.

PECOS PAC ID2961651732
PECOS Enrollment IDI20121011000531
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.

Medicare Billing Reassignments

3

Medicare enrollment records show John Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rothman Orthopaedics Of Florida,pllc
3.3 mi
Orthopaedic Surgery
265 E ROLLINS ST STE 11100
Orlando, FL 32804
  • Reassigned Medicare billing, Florida enrollment
  • 44 clinicians in this Medicare group
NPI 1669086872 (844) 407-4070
Reconstructive Orthopaedic Associates II LLC
858 mi
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 361 clinicians in this Medicare group
NPI 1861433278 (800) 321-9999
Rothman Orthopaedics Of New York, PLLC
958 mi
Orthopaedic Surgery
658 WHITE PLAINS ROAD
Tarrytown, NY 10591
  • Reassigned Medicare billing, New York enrollment
  • 23 clinicians in this Medicare group
NPI 1922501246 (800) 321-9999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

77.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.5
Promoting Interoperability99
Improvement Activities40
Cost64.74

Other Providers at the Same Location NPPES 13

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

ALEXANDRA ELIZABETH VERTUS OTR
Occupational Therapist
255 N LAKEMONT AVE STE 207
WINTER PARK, FL 32792
Orange County (844) 407-4070
DR. ATIF K AHMED M.D.
Orthopaedic Surgery
255 N LAKEMONT AVE STE 207
WINTER PARK, FL 32792
Orange County (844) 407-4070
JOHN ADAM RUDER MD
Orthopaedic Surgery
255 N LAKEMONT AVE STE 207
WINTER PARK, FL 32792
Orange County (407) 852-5333
FLORIDA HOSPITAL MEDICAL GROUP INC
Prosthetic/Orthotic Supplier
255 N LAKEMONT AVE STE 207
WINTER PARK, FL 32792
Orange County (844) 407-4070
CHELSEA LILES PA-C
Physician Assistant (Surgical)
255 N LAKEMONT AVE STE 207
WINTER PARK, FL 32792
Orange County (844) 407-4070
DR. GERALD B BORNSTEIN DPM
Podiatrist (Foot & Ankle Surgery)
255 N LAKEMONT AVE STE 207
WINTER PARK, FL 32792
Orange County (844) 407-4070
RAMAKANTH REDDY YAKKANTI M.D.
Orthopaedic Surgery
255 N LAKEMONT AVE STE 207
WINTER PARK, FL 32792
Orange County (844) 407-4070
DR. TUNC CAN KIYMAZ MD
Physical Medicine & Rehabilitation (Sports Medicine)
255 N LAKEMONT AVE STE 207
WINTER PARK, FL 32792
Orange County (844) 407-4070

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 John Anderson's NPI number?

The NPI number for John Anderson is 1174841258. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is John Anderson located?

John Anderson practices at 255 N Lakemont Ave Ste 207, Winter Park, FL 32792. The listed phone number is (844) 407-4070.

What is John Anderson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is John Anderson enrolled in Medicare?

Yes. John 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 John Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Anderson reassigns Medicare benefits to 3 organizations: Rothman Orthopaedics Of Florida,pllc (Orlando, FL), Reconstructive Orthopaedic Associates II LLC (Philadelphia, PA) and Rothman Orthopaedics Of New York, PLLC (Tarrytown, NY). 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 John Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Anderson was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.