MR. ELIAS ANDERSON PA-C
NPI 1336346360
Physician Assistant in Carbondale, IL

Q: What is Elias Anderson's NPI number?

The NPI number for Elias Anderson is 1336346360. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Q: What is Elias Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elias Anderson was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment

75.73/100

CMS Quality Rating

305 W JACKSON ST STE 206, CARBONDALE, IL 62901(618) 457-3006(618) 457-3007 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Mar 9, 2021, Oct 22, 2020 (3 updates tracked since 2020).

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About Mr. Elias Anderson Pa-c NPPES

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

MR. ELIAS ANDERSON PA-C (NPI 1336346360) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085002820) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1336346360

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ELIAS ANDERSONCredential: PA-C

Location Address305 W JACKSON ST STE 206Carbondale, IL 62901-1474

Mailing AddressPo Box 1467Indianapolis, IN 46206-1467 · (618) 457-5200

Phone(618) 457-3006

Fax(618) 457-3007

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 2, 2007

Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1336346360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085002820

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

305 W JACKSON ST STE 206, Carbondale, IL 62901

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Secondary Practice Location 1

Location 1409 W Oak St Ste 202Carbondale, IL 62901-1464 · Phone (618) 295-0555 · Fax (618) 529-0556

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

Mr. Elias Anderson Pa-c 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 ID1658463005

PECOS Enrollment IDI20070815000605

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.

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

75.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.09

Promoting Interoperability

100

Improvement Activities

Cost

45.26

Other Providers at the Same Location NPPES 17

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

REBECCA ELIZABETH RENFROE NP

Nurse Practitioner