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DR. JAMES S ANDERSEN MD
NPI 1295831741
Plastic Surgery in Pasadena, CA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
625 S FAIR OAKS AVE STE 270&380, PASADENA, CA 91105(424) 314-0177(424) 314-0180 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2022, Nov 3, 2020, Aug 8, 2017 and 1 more (4 updates tracked since 2017).

About Dr. James S Andersen Md NPPES

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

DR. JAMES S ANDERSEN MD (NPI 1295831741) is an individual plastic surgery provider in Pasadena, California, licensed in California (G71255) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Duarte, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1983).

NPPES Registry Identity

NPI1295831741
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JAMES S ANDERSENCredential: MD
Location Address625 S FAIR OAKS AVE STE 270&380Pasadena, CA 91105-2613
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(424) 314-0177
Fax(424) 314-0180
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1983
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJune 8, 20224 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1295831741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · G71255
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgeryTaxonomy 208600000X · License G71255 (CA)
625 S FAIR OAKS AVE STE 270&380, Pasadena, CA 91105
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 E Duarte RdDuarte, CA 91010 · Phone (626) 359-8111

Other Identifiers 1

Medicaid00G712550CA

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

Dr. James S Andersen 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 ID3375739477
PECOS Enrollment IDI20101201001016
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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.
15 services13 patients
Placement of implant on separate day of breast reconstruction 19342
This procedure involves placing an implant to recreate the natural shape of the chest, but not on the same day as the initial reconstruction surgery. It's a separate procedure performed once healing from the first surgery is complete.
12 services12 patients
Surgical change to reconstructed breast 19380
This procedure involves modifying a previously reconstructed breast. It may be done to improve appearance, comfort, or symmetry with the other breast. It's a common step in the journey towards restoring your natural look after a breast-related health issue.
12 services12 patients
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.
12 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES

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

GRACE LEE
Physician Assistant
625 S FAIR OAKS AVE STE 270&380
PASADENA, CA 91105
Los Angeles County (424) 314-0177

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 James Andersen's NPI number?

The NPI number for James Andersen is 1295831741. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is James Andersen located?

James Andersen practices at 625 S Fair Oaks Ave Ste 270&380, Pasadena, CA 91105. The listed phone number is (424) 314-0177.

What is James Andersen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is James Andersen enrolled in Medicare?

Yes. James Andersen 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 James Andersen was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.