PAUL ROGER ANDERSON PA
NPI 1184605396
Emergency Medicine in Tracy, CA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
1420 N TRACY BLVD, TRACY, CA 95376(209) 342-2300(209) 524-4240 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Roger Anderson Pa NPPES

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

PAUL ROGER ANDERSON PA (NPI 1184605396) is an individual emergency medicine provider in Tracy, California, licensed in California (PA15414) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1184605396
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePAUL ROGER ANDERSONCredential: PA
Location Address1420 N TRACY BLVDTracy, CA 95376-3451
Mailing Address4301 Northstar WayModesto, CA 95356-9262 · (209) 342-2300 · Fax (209) 524-4240
Fax(209) 524-4240
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 7, 2005
Last NPPES UpdateMay 9, 2008
NPI 1184605396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · PA15414
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1420 N TRACY BLVD, Tracy, CA 95376

Other Identifiers 5

Medicaid0PA154140CA
Medicare ID-Type Unspecified0PA154140CA
Medicare PIN0PA154141CA
Other0PA154140CA · Blue Shield
Medicare UPINP27218

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

Paul Roger Anderson Pa 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 ID3274622923
PECOS Enrollment IDI20071203000400
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95376 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

General Acute Care Hospital
1420 N TRACY BLVD
TRACY, CA 95376
Speech-Language Pathologist
1420 N TRACY BLVD
TRACY, CA 95376
Nurse Practitioner (Family)
1420 N TRACY BLVD, S3CVO
TRACY, CA 95376
Clinical Medical Laboratory
1420 N TRACY BLVD
TRACY, CA 95376
Nurse Practitioner (Family)
1420 N TRACY BLVD
TRACY, CA 95376
Nurse Practitioner (Family)
1420 N TRACY BLVD
TRACY, CA 95376
Emergency Medicine
1420 N TRACY BLVD, EMERGENCY DEPT
TRACY, CA 95376
Physician Assistant
1420 N TRACY BLVD
TRACY, CA 95376

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 Paul Anderson's NPI number?

The NPI number for Paul Anderson is 1184605396. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Paul Anderson located?

Paul Anderson practices at 1420 N Tracy Blvd, Tracy, CA 95376. The listed phone number is (209) 342-2300.

What is Paul Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Anderson enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Anderson was last updated on May 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.