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KENNETH R ANDERSON D.O.
NPI 1275513756
Family Medicine in Chariton, IA

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
1200 N 7TH ST, CHARITON, IA 50049(641) 774-8103(641) 774-8087 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth R Anderson D.o. NPPES

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

KENNETH R ANDERSON D.O. (NPI 1275513756) is an individual family medicine provider in Chariton, Iowa, licensed in Iowa (01931) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lucas County Health Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1981).

NPPES Registry Identity

NPI1275513756
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH R ANDERSONCredential: D.O.
Location Address1200 N 7TH STChariton, IA 50049-1210
Mailing Address1200 N 7th StChariton, IA 50049-1210 · (641) 774-8103 · Fax (641) 774-8087
Phone(641) 774-8103
Fax(641) 774-8087
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1981
Enumeration DateJanuary 19, 2006
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1275513756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 01931
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.
1200 N 7TH ST, Chariton, IA 50049
Open in Google Maps ↗

Other Identifiers 11

Medicare PIN40870IA
Medicare ID-Type Unspecified40870IA
Medicaid4193557IA
Other40871IA · Bcbs
Other40870IA · Bcbs
Medicaid5193557IA
Medicaid1275513756IA
Other110153091IA · Travelers Medicare
Medicare UPIND46555IA
Medicare PIN1275513756IA
Other1275513756IA · Wellmark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Kenneth R 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 ID9830081637
PECOS Enrollment IDI20100329000079
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.

Hospital Affiliations CMS Care Compare

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

Lucas County Health Center

Critical Access Hospitals · Chariton, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161341
Location1200 North 7th StreetChariton, IA 50049 · Lucas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50049 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
53%83 patients3/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
6%265 patients1/55-star benchmark: 85%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
56%79 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
86%79 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,372 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%492 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
3%301 patients1/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
100%267 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%301 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%449 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
82%383 patients4/55-star benchmark: 88%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
100%267 patients5/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
100%82 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
6%267 patients1/55-star benchmark: 99%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 301 patients
5%301 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
5 suppliers72 claims154 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims18 services$1.09 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier14 claims28 services$2.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers98 claims98 services$173.66 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 20

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

LUCAS COUNTY HEATLH CENTER
Surgery
1200 N 7TH ST
CHARITON, IA 50049
Lucas County (641) 774-3000
AMY MARIE PONCELOW PA-C
Physician Assistant
1200 N 7TH ST
CHARITON, IA 50049
Lucas County (515) 250-6013
DR. PHILLIP ROSS MASTERS PHARMD
Pharmacist (Ambulatory Care)
1200 N 7TH ST
CHARITON, IA 50049
Lucas County (641) 774-3127
SHARON HOPKINS-BRINEGAR ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1200 N 7TH ST
CHARITON, IA 50049
Lucas County (641) 774-3000
MS. JENNIFER ELAINE ROUSE DPT
Physical Therapist
1200 N 7TH ST
CHARITON, IA 50049
Lucas County (641) 774-3000
SUSAN MARIE ROSA
Social Worker (Clinical)
1200 N 7TH ST
CHARITON, IA 50049
Lucas County (641) 774-3000
DR. DAVID HAROLD MARCOWITZ D.O.
Family Medicine
1200 N 7TH ST, SUITE 100
CHARITON, IA 50049
Lucas County (641) 774-8103
MIRANDA MILLIE GEBHART NP-C
Nurse Practitioner (Family)
1200 N 7TH ST
CHARITON, IA 50049
Lucas County (641) 774-8103

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 Kenneth Anderson's NPI number?

The NPI number for Kenneth Anderson is 1275513756. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Kenneth Anderson located?

Kenneth Anderson practices at 1200 N 7th St, Chariton, IA 50049. The listed phone number is (641) 774-8103.

What is Kenneth Anderson's specialty?

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

Is Kenneth Anderson enrolled in Medicare?

Yes. Kenneth 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 Kenneth Anderson accept?

Health plans from Medica and UnitedHealthcare list Kenneth 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 Kenneth Anderson affiliated with any hospitals?

According to CMS data, Kenneth Anderson is affiliated with Lucas County Health Center.

When was this NPI record last updated?

The NPPES record for Kenneth Anderson was last updated on February 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.