ALEX ANDERSON D.O.
NPI 1235662628
Family Medicine in Greenfield, OH

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
1075 N WASHINGTON ST, GREENFIELD, OH 45123(937) 981-9444(937) 981-9448 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 24, 2021, Aug 17, 2020, Jun 16, 2020 and 1 more (4 updates tracked since 2019).

About Alex Anderson D.o. NPPES

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

ALEX ANDERSON D.O. (NPI 1235662628) is an individual family medicine provider in Greenfield, Ohio, licensed in Ohio (34.014388) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1235662628
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALEX ANDERSONCredential: D.O.
Location Address1075 N WASHINGTON STGreenfield, OH 45123-9780
Mailing Address1075 N Washington StGreenfield, OH 45123-9780 · (937) 981-9444 · Fax (937) 981-9448
Fax(937) 981-9448
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateJuly 16, 20254 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
NPI 1235662628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34.014388
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.
1075 N WASHINGTON ST, Greenfield, OH 45123

Other Identifiers 1

Medicaid0409318OH

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

Alex Anderson D.o. 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 ID8820366727
PECOS Enrollment IDI20200721003057
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 6

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.
61 services47 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.
53 services45 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
38 services33 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
24 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Greenfield Area Medical Center

Critical Access Hospitals · Greenfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361304
Location550 Mirabeau StreetGreenfield, OH 45123 · Highland County
Emergency services

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH
OwnershipGovernment - Local
CMS Certification Number361331
Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45123 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
4 suppliers19 claims71 services$4.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$103.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
1075 N WASHINGTON ST
GREENFIELD, OH 45123
Nurse Practitioner (Family)
1075 N WASHINGTON ST
GREENFIELD, OH 45123
Family Medicine
1075 N WASHINGTON ST
GREENFIELD, OH 45123
Family Medicine
1075 N WASHINGTON ST
GREENFIELD, OH 45123
Nurse Practitioner (Family)
1075 N WASHINGTON ST
GREENFIELD, OH 45123
Family Medicine
1075 N WASHINGTON ST
GREENFIELD, OH 45123

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 Alex Anderson's NPI number?

The NPI number for Alex Anderson is 1235662628. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Alex Anderson located?

Alex Anderson practices at 1075 N Washington St, Greenfield, OH 45123. The listed phone number is (937) 981-9444.

What is Alex Anderson's specialty?

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

Is Alex Anderson enrolled in Medicare?

Yes. Alex 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 Alex Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Alex 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 Alex Anderson affiliated with any hospitals?

According to CMS data, Alex Anderson is affiliated with Adena Regional Medical Center, Greenfield Area Medical Center and Adena Fayette Medical Center.

When was this NPI record last updated?

The NPPES record for Alex Anderson was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.