DR. JOHN ROGER ANDERSON D.O.
NPI 1366490773
Radiology - Diagnostic Radiology in Coeur D Alene, ID
About Dr. John Roger Anderson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN ROGER ANDERSON D.O. (NPI 1366490773) is an individual diagnostic radiology provider in Coeur D Alene, Idaho, licensed in Idaho (O-0349) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1972).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Roger 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.
Medicare Billing Reassignments
24Medicare enrollment records show John Anderson reassigns Medicare billing to 24 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bothell, WA 98021
- Reassigned Medicare billing, Idaho enrollment
- 2 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Idaho enrollment
- 3 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Idaho enrollment
- 3 clinicians in this Medicare group
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Lukes Clinic LLC
- 322 clinicians in this Medicare group
Corvallis, OR 97330
- Reassigned Medicare billing, Idaho enrollment
- 2 clinicians in this Medicare group
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: Medical Imaging Associates Of Idaho Falls Inc
- 43 clinicians in this Medicare group
Billings, MT 59101
- Reassigned Medicare billing, Idaho enrollment
- 2 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Idaho enrollment
- 2 clinicians in this Medicare group
Chico, CA 95926
- Reassigned Medicare billing, Idaho enrollment
- 2 clinicians in this Medicare group
Carson City, NV 89706
- Reassigned Medicare billing, Idaho enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDCentra Health - Lynchburg Gen Hospital
Acute Care Hospitals · Lynchburg, VACarilion Medical Center
Acute Care Hospitals · Roanoke, VACarilion New River Valley Medical Center
Acute Care Hospitals · Christiansburg, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 John Anderson's NPI number?
The NPI number for John Anderson is 1366490773. It was assigned to this individual provider in the NPPES registry on May 5, 2006.
Where is John Anderson located?
John Anderson practices at 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814. The listed phone number is (208) 664-4455.
What is John Anderson's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is John Anderson enrolled in Medicare?
Yes. John 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.
Which organizations bill Medicare for John Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Anderson reassigns Medicare benefits to 24 organizations: Direct Radiology PLLC (Bothell, WA), Benefis Hospitals Inc (Great Falls, MT), Cmsc, LLC (Great Falls, MT), St Luke's Clinic LLC (Twin Falls, ID), Corvallis Radiology PC (Corvallis, OR) and 19 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Anderson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list John 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 John Anderson affiliated with any hospitals?
According to CMS data, John Anderson is affiliated with St Lukes Magic Valley Medical Center, Centra Health - Lynchburg Gen Hospital, Carilion Medical Center and Carilion New River Valley Medical Center.
When was this NPI record last updated?
The NPPES record for John Anderson was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. John Roger Anderson, D.O. · NPI 1366490773
Diagnostic Radiology physician in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since May 5, 2006.
## Identity
- **NPI:** 1366490773 (Entity type: Individual)
- **Enumerated:** May 5, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** O-0349 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 8611 W EAGLE RIDGE RD, Coeur D Alene, ID 83814-9565
- **Phone:** (208) 664-4455 · **Fax:** (208) 664-4159
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 24 organizations under Medicare reassignment (form CMS-855R): Direct Radiology PLLC (NPI 1144572173, Bothell, WA); Benefis Hospitals Inc (NPI 1780968974, Great Falls, MT); Cmsc, LLC (NPI 1639109978, Great Falls, MT); St Luke's Clinic LLC (NPI 1790718229, Twin Falls, ID); Corvallis Radiology PC (NPI 1881651289, Corvallis, OR); and 19 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 1972
## Record status
- **NPPES last updated:** August 4, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1366490773) · Data from the CMS NPPES public registry.