ANDREW M ANTHONY MD.
NPI 1275516304
Family Medicine in Templeton, CA

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
265 POSADA LN, SUITE B, TEMPLETON, CA 93465(805) 434-0900(805) 434-9260 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew M Anthony Md. NPPES

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

ANDREW M ANTHONY MD. (NPI 1275516304) is an individual family medicine provider in Templeton, California, licensed in California (A44962) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1275516304
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW M ANTHONYCredential: MD.
Location Address265 POSADA LN, SUITE BTempleton, CA 93465-4056
Mailing Address265 Posada Ln, Suite BTempleton, CA 93465-4056 · (805) 434-0900 · Fax (805) 434-9260
Fax(805) 434-9260
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 22, 2005
Last NPPES UpdateSeptember 16, 2011
NPI 1275516304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A44962
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.
Also ListedHospitalistTaxonomy 208M00000X · License A44962 (CA)
265 POSADA LN, Templeton, CA 93465

Other Identifiers 6

Medicaid00A449620CA
Medicare PINWA44962MCA
Other2396051CA · Blue Cross Of Ca
Medicare UPINC33757CA
Other10940559CA · Caqh
Medicare PINAT948ZCA

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

Andrew M Anthony 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.

PECOS PAC ID1951294453
PECOS Enrollment IDI20040216000721
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
585 services238 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
312 services298 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
254 services145 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
153 services151 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93465 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%433 patients5/55-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 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier24 claims24 services$52.34 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers135 claims137 services$15.56 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 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
2 suppliers177 claims178 services$77.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$34.23 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$26.69 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 18

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

Family Medicine
265 POSADA LN, SUITE D
TEMPLETON, CA 93465
Family Medicine
265 POSADA LN, SUITE C
TEMPLETON, CA 93465
Clinic/Center (Community Health)
265 POSADA LN, SUITE B
TEMPLETON, CA 93465
Family Medicine
265 POSADA LN, SUITE D
TEMPLETON, CA 93465
Clinic/Center (Sleep Disorder Diagnostic)
265 POSADA LN, SUITE A
TEMPLETON, CA 93465
Physician Assistant
265 POSADA LN, B
TEMPLETON, CA 93465
Non-Pharmacy Dispensing Site
265 POSADA LN, SUITE B
TEMPLETON, CA 93465
Internal Medicine
265 POSADA LN, SUITE C
TEMPLETON, CA 93465

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 Andrew Anthony's NPI number?

The NPI number for Andrew Anthony is 1275516304. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Andrew Anthony located?

Andrew Anthony practices at 265 Posada Ln Suite B, Templeton, CA 93465. The listed phone number is (805) 434-0900.

What is Andrew Anthony's specialty?

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

Is Andrew Anthony enrolled in Medicare?

Yes. Andrew Anthony 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 Andrew Anthony was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.