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KOBY ANDERSON PA-C
NPI 1356739486
Physician Assistant in Oklahoma City, OK

Active since December 23, 2014PECOS EnrolledAccepts Medicare Assignment
3110 SW 89TH ST STE 200E, OKLAHOMA CITY, OK 73159(405) 486-6720 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2020, Dec 6, 2018, Nov 19, 2018 and 2 more (5 updates tracked since 2016).

About Koby Anderson Pa-c NPPES

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

KOBY ANDERSON PA-C (NPI 1356739486) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (2475) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Community Hospital, Llc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1356739486
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKOBY ANDERSONCredential: PA-C
Location Address3110 SW 89TH ST STE 200EOklahoma City, OK 73159-7919
Mailing Address3110 Sw 89th St Ste 200eOklahoma City, OK 73159-7919 · (405) 486-6720
Phone(405) 486-6720
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 23, 2014
Last NPPES UpdateFebruary 13, 20205 updates tracked since enumeration
✔ NPI 1356739486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OK · 2475✔ Licensed in IA · 076350
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.
3110 SW 89TH ST STE 200E, Oklahoma City, OK 73159
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Other Identifiers 1

Other1356739486OK · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Koby 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 ID3971828518
PECOS Enrollment IDI20170211000219
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.

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.
56 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
20 services14 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
17 services17 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
16 services16 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370203
Location3100 Southwest 89th StreetOklahoma City, OK 73159 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73159 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES

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

DR. JEFFREY PAUL NEES MD
Neurological Surgery
3110 SW 89TH ST STE 200E
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 486-6720

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 Koby Anderson's NPI number?

The NPI number for Koby Anderson is 1356739486. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Where is Koby Anderson located?

Koby Anderson practices at 3110 SW 89th St Ste 200E, Oklahoma City, OK 73159. The listed phone number is (405) 486-6720.

What is Koby Anderson's specialty?

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

Is Koby Anderson enrolled in Medicare?

Yes. Koby 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 Koby Anderson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Koby 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 Koby Anderson affiliated with any hospitals?

According to CMS data, Koby Anderson is affiliated with Community Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Koby Anderson was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.