DR. JAMES MARK ANDERSON MD
NPI 1225004351
Family Medicine in Irving, TX

Q: What is James Anderson's NPI number?

The NPI number for James Anderson is 1225004351. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is James Anderson's specialty?

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

Q: Is James Anderson enrolled in Medicare?

No. James Anderson has opted out of Medicare through December 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for James Anderson was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 28, 2006Opted out of Medicare · through Dec 30, 2026

6161 N STATE HIGHWAY 161, IRVING, TX 75038(972) 258-7499(972) 257-0897 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2018, Feb 8, 2016 (2 updates tracked since 2016).

On this page

About Dr. James Mark Anderson Md NPPES

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

DR. JAMES MARK ANDERSON MD (NPI 1225004351) is an individual family medicine provider in Irving, Texas, licensed in Texas (H4128) and active in the NPI registry since February 2006. He has opted out of Medicare through December 30, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225004351

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES MARK ANDERSONCredential: MD

Location Address6161 N STATE HIGHWAY 161Irving, TX 75038

Mailing Address6161 N State Highway 161Irving, TX 75038-2220 · (972) 258-7499 · Fax (972) 257-0897

Phone(972) 258-7499

Fax(972) 257-0897

Sole ProprietorNo

Enumeration DateFebruary 28, 2006

Last NPPES UpdateAugust 24, 20182 updates tracked since enumeration

✔ NPI 1225004351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H4128

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.

6161 N STATE HIGHWAY 161, Irving, TX 75038

Open in Google Maps ↗

Other Identifiers 2

OtherH4128TX · License

Medicaid114378601TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James Mark Anderson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 30, 2022 through December 30, 2026.

Opt-Out Effective DateDecember 30, 2022

Opt-Out In Effect ThroughDecember 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 4

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

13 suppliers33 claims102 services$6.48 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims13 services$1.19 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

1 supplier11 claims33 services$29.41 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers15 claims90 services$1.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

MIMI SONG IDICULA NP

Nurse Practitioner