MARK B ANDERSON MD
NPI 1245309103
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA
About Mark B Anderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK B ANDERSON MD (NPI 1245309103) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD445899) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of New York Medical College (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
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
Mark B 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Teaneck, NJ 07666
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Humc Cardiovascular Partners, P.C.
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
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 Mark Anderson's NPI number?
The NPI number for Mark Anderson is 1245309103. It was assigned to this individual provider in the NPPES registry on November 7, 2006.
Where is Mark Anderson located?
Mark Anderson practices at 5501 Old York Rd 3rd Floor, Philadelphia, PA 19141. The listed phone number is (215) 456-8270.
What is Mark Anderson's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Mark Anderson enrolled in Medicare?
Yes. Mark 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 Mark Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Anderson reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Humc Cardiovascular Partners, PC (Teaneck, NJ). 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 Mark Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Anderson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mark 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 Mark Anderson affiliated with any hospitals?
According to CMS data, Mark Anderson is affiliated with Hackensack University Medical Center.
When was this NPI record last updated?
The NPPES record for Mark Anderson was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mark B Anderson, MD · NPI 1245309103
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1245309103 (Entity type: Individual)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** MD445899 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 OLD YORK RD, 3RD FLOOR, Philadelphia, PA 19141-3018
- **Phone:** (215) 456-8270 · **Fax:** (215) 456-3533
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); Humc Cardiovascular Partners, PC (NPI 1417188905, Teaneck, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 1988
## Record status
- **NPPES last updated:** January 12, 2017
- **Other identifiers:** Medicare PIN 042805M4E (NJ); Medicare UPIN G21320 (NJ); Other 330005347 (NJ); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1245309103) · Data from the CMS NPPES public registry.