MICHAEL DAVID ANDERSON M.D.
NPI 1396788931
Emergency Medicine in Smyrna, TN

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
86.6/100
CMS Quality Rating
200 STONECREST BLVD, SMYRNA, TN 37167(615) 768-2000 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael David Anderson M.d. NPPES

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

MICHAEL DAVID ANDERSON M.D. (NPI 1396788931) is an individual emergency medicine provider in Smyrna, Tennessee, licensed in Tennessee (40027) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2002).

NPPES Registry Identity

NPI1396788931
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL DAVID ANDERSONCredential: M.D.
Location Address200 STONECREST BLVDSmyrna, TN 37167-6810
Mailing Address1431 Centerpoint Blvd, Suite 100Knoxville, TN 37932-1984
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2002
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 19, 2007
NPI 1396788931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TN · 40027
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

200 STONECREST BLVD, Smyrna, TN 37167

Other Identifiers 3

Medicaid3334155TN
Medicare ID-Type Unspecified3334155TN
Medicare UPINI14331

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

Michael David 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 ID244206779
PECOS Enrollment IDI20050921000210
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
411 services394 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
180 services179 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
84 services83 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
73 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

86.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.19
Improvement Activities40
Cost89.83

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.

Physician Assistant
200 STONECREST BLVD
SMYRNA, TN 37167
Emergency Medicine
200 STONECREST BLVD
SMYRNA, TN 37167
Hospitalist
200 STONECREST BLVD
SMYRNA, TN 37167
Emergency Medicine
200 STONECREST BLVD, STE 1600
SMYRNA, TN 37167
Specialist/Technologist, Other (Surgical Assistant)
200 STONECREST BLVD, SUITE 360
SMYRNA, TN 37167
Internal Medicine
200 STONECREST BLVD
SMYRNA, TN 37167
Nurse Anesthetist, Certified Registered
200 STONECREST BLVD
SMYRNA, TN 37167
Registered Nurse (Critical Care Medicine)
200 STONECREST BLVD
SMYRNA, TN 37167

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 Michael Anderson's NPI number?

The NPI number for Michael Anderson is 1396788931. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Michael Anderson located?

Michael Anderson practices at 200 Stonecrest Blvd, Smyrna, TN 37167. The listed phone number is (615) 768-2000.

What is Michael Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Anderson enrolled in Medicare?

Yes. Michael 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 Michael Anderson accept?

Health plans from BlueCross BlueShield of Tennessee list Michael 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 Michael Anderson affiliated with any hospitals?

According to CMS data, Michael Anderson is affiliated with Williamson Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Anderson was last updated on July 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.