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DR. BRIAN JACOB ANDERSON M.D.
NPI 1396987558
Internal Medicine - Critical Care Medicine in Philadelphia, PA

Active since April 01, 2009PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD, PCAM 1ST FL WEST PAVILION, PHILADELPHIA, PA 19104(215) 615-5864(215) 349-8432 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Jacob Anderson M.d. NPPES

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

DR. BRIAN JACOB ANDERSON M.D. (NPI 1396987558) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD444801) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Georgetown University School Of Medicine (2009).

NPPES Registry Identity

NPI1396987558
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. BRIAN JACOB ANDERSONCredential: M.D.
Location Address3400 CIVIC CENTER BLVD, PCAM 1ST FL WEST PAVILIONPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd Fl 1Philadelphia, PA 19104-5161 · (215) 662-3202 · Fax (215) 349-8432
Phone(215) 615-5864
Fax(215) 349-8432
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2009
Enumeration DateApril 1, 2009
Last NPPES UpdateAugust 21, 2019
✔ NPI 1396987558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD444801
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD444801 (PA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD444801 (PA)
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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

Dr. Brian Jacob 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 ID8224352000
PECOS Enrollment IDI20160302000832
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 2

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.

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.
121 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420080
Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

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 Brian Anderson's NPI number?

The NPI number for Brian Anderson is 1396987558. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Brian Anderson located?

Brian Anderson practices at 3400 Civic Center Blvd Pcam 1st Fl West Pavilion, Philadelphia, PA 19104. The listed phone number is (215) 615-5864.

What is Brian Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Brian Anderson enrolled in Medicare?

Yes. Brian 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 Brian Anderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brian 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 Brian Anderson affiliated with any hospitals?

According to CMS data, Brian Anderson is affiliated with Hospital Of Univ Of Pennsylvania and Hilton Head Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Anderson was last updated on August 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.