ROBERT JAMES ANDERSON MD
NPI 1477559938
Family Medicine in Green Bay, WI

Q: What is Robert Anderson's NPI number?

The NPI number for Robert Anderson is 1477559938. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Robert Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Anderson was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

2502 S ASHLAND AVE, GREEN BAY, WI 54304(920) 496-4700 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2022, Aug 15, 2019, Aug 2, 2018 and 1 more (4 updates tracked since 2016).

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About Robert James Anderson Md NPPES

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

ROBERT JAMES ANDERSON MD (NPI 1477559938) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (37942) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1477559938

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameROBERT JAMES ANDERSONCredential: MD

Location Address2502 S ASHLAND AVEGreen Bay, WI 54304-5252

Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700

Phone(920) 496-4700

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1995

Enumeration DateJune 21, 2005

Last NPPES UpdateOctober 6, 20224 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1477559938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 37942

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.

2502 S ASHLAND AVE, Green Bay, WI 54304

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Secondary Practice Locations 6

Location 1831 Parker StAlgoma, WI 54201-0185 · Phone (920) 487-3676

Location 21630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 433-6000 · Fax (920) 430-4719

Location 33415 Custer StManitowoc, WI 54220-4324 · Phone (920) 652-9310 · Fax (920) 652-9316

Location 4575 4th StKewaunee, WI 54216-1785 · Phone (920) 388-4640 · Fax (920) 388-0479

Location 53263 Eaton RdGreen Bay, WI 54311-6830 · Phone (920) 433-6700 · Fax (920) 433-6719

Location 6140B School Creek TrlLuxemburg, WI 54217-1095 · Phone (920) 845-1370 · Fax (920) 845-1379

Other Identifiers 1

Medicaid34238600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Robert James Anderson 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 ID4789573346

PECOS Enrollment IDI20040311001325, I20170223002625

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

Medicare enrollment records show Robert Anderson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prevea Clinic, Inc.

1.2 mi

Internal Medicine

2710 EXECUTIVE DR
Green Bay, WI 54304

Reassigned Medicare billing, Wisconsin enrollment
190 clinicians in this Medicare group

NPI 1306869276 (920) 496-4700

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

1.2 mi

General Practice

2710 EXECUTIVE DR
Green Bay, WI 54304

Reassigned Medicare billing, Wisconsin enrollment
742 clinicians in this Medicare group

NPI 1285613638 (920) 433-8287

St. Clare Memorial Hospital, Inc.

2.7 mi

Surgery

900 S WEBSTER AVE
Green Bay, WI 54301

Reassigned Medicare billing, Wisconsin enrollment
216 clinicians in this Medicare group

NPI 1093173791 (920) 965-7411

St. Nicholas Hospital-Sisters Of The Third Order Of St Francis

52 mi

Internal Medicine

3113 SAEMANN AVE
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
673 clinicians in this Medicare group

NPI 1275799413 (920) 496-4700

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 4

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 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.

140 services134 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

21 services21 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

17 services17 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520075

Location835 S Van Buren StGreen Bay, WI 54301 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 2

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

9 suppliers41 claims78 services$5.72 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers26 claims26 services$1.01 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 20

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

CANDICE CRABB

Nurse Practitioner (Family)