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MARK JOSEPH ANDERSON M.D.
NPI 1386006278
Surgery in Chicago, IL

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1500 S FAIRFIELD AVE, CHICAGO, IL 60608(773) 542-2000 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Jan 25, 2023, Mar 2, 2021 and 1 more (4 updates tracked since 2016).

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

NPI1386006278
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARK JOSEPH ANDERSONCredential: M.D.
Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782
Mailing Address327 W Belden Ave Apt 1Chicago, IL 60614-7034 · (415) 476-1239
Phone(773) 542-2000
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateFebruary 9, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1386006278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036161537
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1500 S FAIRFIELD AVE, Chicago, IL 60608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

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.

PECOS PAC ID648563551
PECOS Enrollment IDI20220830001498
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

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, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Physician 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.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

AUDREY SHAE WHITNAH
Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
DR. FRANKLIN OLIVO RIJO PHARMD
Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
MS. KA'TEE ABERCROMBIE FNP-C
Nurse Practitioner (Family)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
MARYAM BAIKPOUR MD
Obstetrics & Gynecology
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
ARNOLD ELANGO MD
Surgery
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
MR. MIGUEL BEAUCHAMP MD
Internal Medicine
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
CHARLEIGH PERRY MD
Student in an Organized Health Care Education/Training Program
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Cook County (773) 257-6613
DR. ALEXANDRA COLEMAN PSYD
Psychologist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Cook County (773) 257-4026

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.

What insurance does Mark Anderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 6 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.