MARK JOSEPH ANDERSON M.D.
NPI 1386006278
Surgery in Chicago, IL
About Mark Joseph Anderson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK JOSEPH ANDERSON M.D. (NPI 1386006278) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036161537) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2016).
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
Mark Joseph Anderson M.d. 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 Reassignment
Medicare enrollment records show Mark Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60608
- Reassigned Medicare billing, Illinois enrollment
- 646 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
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mt Sinai Hospital Medical Center
Acute Care Hospitals · Chicago, ILHoly Cross Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60608 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60608
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 Mark Anderson's NPI number?
The NPI number for Mark Anderson is 1386006278. It was assigned to this individual provider in the NPPES registry on March 22, 2016.
Where is Mark Anderson located?
Mark Anderson practices at 1500 S Fairfield Ave, Chicago, IL 60608. The listed phone number is (773) 542-2000.
What is Mark Anderson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Mark Anderson enrolled in Medicare?
Yes. Mark 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 organization bills Medicare for Mark Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Anderson reassigns Medicare benefits to Mount Sinai Community Foundation (Chicago, IL). The 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 Mark Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Anderson accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Mark 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 Mark Anderson affiliated with any hospitals?
According to CMS data, Mark Anderson is affiliated with Mt Sinai Hospital Medical Center and Holy Cross Hospital.
When was this NPI record last updated?
The NPPES record for Mark Anderson was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mark Joseph Anderson, M.D. · NPI 1386006278
Surgery physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 22, 2016.
## Identity
- **NPI:** 1386006278 (Entity type: Individual)
- **Enumerated:** March 22, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 036161537 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 S FAIRFIELD AVE, Chicago, IL 60608-1782
- **Phone:** (773) 542-2000
## 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:** Mount Sinai Community Foundation (NPI 1649318148, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** February 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386006278) · Data from the CMS NPPES public registry.