KENNETH M ANDERSEN MD
NPI 1386654986
Family Medicine in Johnston, IA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
5615 NW 86TH ST, JOHNSTON, IA 50131(515) 643-6000(515) 643-6001 Get Directions Write a Review

NPPES record last updated: January 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth M Andersen Md NPPES

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

KENNETH M ANDERSEN MD (NPI 1386654986) is an individual family medicine provider in Johnston, Iowa, licensed in Iowa (24339) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1983).

NPPES Registry Identity

NPI1386654986
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH M ANDERSENCredential: MD
Location Address5615 NW 86TH STJohnston, IA 50131-1738
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-6000 · Fax (515) 643-6001
Fax(515) 643-6001
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1983
Enumeration DateAugust 8, 2006
Last NPPES UpdateJanuary 21, 2024
NPPES CertifiedJanuary 21, 2024
NPI 1386654986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 24339
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5615 NW 86TH ST, Johnston, IA 50131

Other Identifiers 1

Medicaid3020362IA

Accepted 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

Kenneth M Andersen Md 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 ID2769524487
PECOS Enrollment IDI20100119000416
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
431 services227 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
375 services222 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
250 services178 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
165 services150 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
154 services78 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
109 services109 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50131 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers57 claims142 services$5.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims14 services$0.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims12 services$91.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims23 services$185.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Family Medicine
5615 NW 86TH ST
JOHNSTON, IA 50131
Pediatrics
5615 NW 86TH ST, SUITE 200
JOHNSTON, IA 50131
Nurse Practitioner
5615 NW 86TH ST
JOHNSTON, IA 50131
Family Medicine
5615 NW 86TH ST
JOHNSTON, IA 50131
Family Medicine
5615 NW 86TH ST
JOHNSTON, IA 50131
Physician Assistant
5615 NW 86TH ST
JOHNSTON, IA 50131
Clinic/Center (Primary Care)
5615 NW 86TH ST
JOHNSTON, IA 50131
Physician Assistant
5615 NW 86TH ST
JOHNSTON, IA 50131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386654986, enumerated as an "individual" on August 08, 2006.

The provider is located at 5615 NW 86TH ST JOHNSTON, IA 50131 and the phone number is (515) 643-6000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.

Kenneth Andersen is affiliated with: MERCYONE DES MOINES MEDICAL CENTER.