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DR. STEPHEN TODD ANDERSON M.D.
NPI 1467613034
Internal Medicine - Hematology & Oncology in Maysville, KY

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
991 MEDICAL PARK DR, MAYSVILLE, KY 41056(606) 302-9484(606) 759-8533 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2023, Jan 25, 2022 (2 updates tracked since 2022).

About Dr. Stephen Todd Anderson M.d. NPPES

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

DR. STEPHEN TODD ANDERSON M.D. (NPI 1467613034) is an individual hematology & oncology provider in Maysville, Kentucky, licensed in Kentucky (44354) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Ashland.

NPPES Registry Identity

NPI1467613034
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. STEPHEN TODD ANDERSONCredential: M.D.
Location Address991 MEDICAL PARK DRMaysville, KY 41056-8764
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 325-2221 · Fax (606) 324-1326
Phone(606) 302-9484
Fax(606) 759-8533
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2008
Enumeration DateJune 17, 2008
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1467613034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 44354
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
991 MEDICAL PARK DR, Maysville, KY 41056
Open in Google Maps ↗

Secondary Practice Location 1

Location 1617 23rd St Ste 19Ashland, KY 41101-2845 · Phone (606) 325-2221 · Fax (606) 324-1326

Accepted Insurance

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

Dr. Stephen Todd 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 ID7911129671
PECOS Enrollment IDI20141112001920
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stephen Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meadowview Physician Practice LLC
1.3 mi
Orthopaedic Surgery
901 KENTON STATION DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
NPI 1750610663 (606) 759-5337
Clark Regional Physician Practices LLC
40 mi
Rural Health
129 STONE TRACE DR
Mt Sterling, KY 40353
  • Reassigned Medicare billing, Kentucky enrollment
  • 88 clinicians in this Medicare group
NPI 1780356253 (859) 498-6006
King's Daughters Medical Specialties, Inc.
60 mi
Podiatrist
1000 ASHLAND DR STE 104
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Kings Daughters Medical Specialties Inc
  • 531 clinicians in this Medicare group
NPI 1366079543 (606) 833-6260

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
366 services138 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.
154 services93 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
103 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
89 services59 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
67 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41056 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Referred Medical Equipment & Supplies CMS DME claims

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,176 services$0.68 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 15

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

CHARLOTTE J. HARRIS, MD, PSC
Orthopaedic Surgery
991 MEDICAL PARK DR, SUITE 300
MAYSVILLE, KY 41056
Mason County (606) 759-9729
MEADOWVIEW PHYSICIAN PRACTICE LLC
Internal Medicine (Cardiovascular Disease)
991 MEDICAL PARK DR, SUITE 107
MAYSVILLE, KY 41056
Mason County (606) 759-9353
MAYSVILLE OBSTETRIC & GYNECOLOGIC ASSOCIATES PSC
Obstetrics & Gynecology
991 MEDICAL PARK DR, SUITE 309
MAYSVILLE, KY 41056
Mason County (606) 759-5331
MEADOWVIEW PHYSICIAN PRACTICE LLC
Surgery
991 MEDICAL PARK DR, SUITE 201
MAYSVILLE, KY 41056
Mason County (615) 957-0847
MEADOWVIEW PHYSICIAN PRACTICE LLC
Internal Medicine (Pulmonary Disease)
991 MEDICAL PARK DR, SUITE 202
MAYSVILLE, KY 41056
Mason County (606) 759-5424
STEVEN D NOE M.D.
Surgery
991 MEDICAL PARK DR, SUITE 201
MAYSVILLE, KY 41056
Mason County (606) 759-9011
ATHEANA M MEADOWS MA, CCC-A
Audiologist
991 MEDICAL PARK DR, SUITE 301
MAYSVILLE, KY 41056
Mason County (606) 759-4852
OHIO VALLEY ENDOCRINOLOGY INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
991 MEDICAL PARK DR, STE 207
MAYSVILLE, KY 41056
Mason County (606) 759-0556

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 Stephen Anderson's NPI number?

The NPI number for Stephen Anderson is 1467613034. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Stephen Anderson located?

Stephen Anderson practices at 991 Medical Park Dr, Maysville, KY 41056. The listed phone number is (606) 302-9484.

What is Stephen Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Stephen Anderson enrolled in Medicare?

Yes. Stephen 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 organizations bill Medicare for Stephen Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Anderson reassigns Medicare benefits to 3 organizations: Meadowview Physician Practice LLC (Maysville, KY), Clark Regional Physician Practices LLC (Mt Sterling, KY) and King's Daughters Medical Specialties, Inc. (Ashland, KY). Each 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 Stephen Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Stephen 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 Stephen Anderson affiliated with any hospitals?

According to CMS data, Stephen Anderson is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Stephen Anderson was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.