PATRICK ANDERSON RPA
NPI 1487640165
Physician Assistant in St Johnsbury, VT

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
185 SHERMAN DR, ST JOHNSBURY, VT 05819(802) 748-5041(802) 748-5094 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patrick Anderson Rpa NPPES

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

PATRICK ANDERSON RPA (NPI 1487640165) is an individual physician assistant in St Johnsbury, Vermont, licensed in Vermont (055.0031225) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Yale University School Of Medicine (2004).

NPPES Registry Identity

NPI1487640165
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePATRICK ANDERSONCredential: RPA
Location Address185 SHERMAN DRSt Johnsbury, VT 05819-9811
Mailing Address165 Sherman DriveSt Johnsbury, VT 05819 · (802) 748-9405 · Fax (802) 748-4540
Fax(802) 748-5094
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2004
Enumeration DateSeptember 27, 2005
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 24, 2023
NPI 1487640165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VT · 055.0031225 Licensed in NY · 010315-1
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

185 SHERMAN DR, St Johnsbury, VT 05819

Other Identifiers 2

OtherAA1500NY · Medicare Group Id
Medicaid02596885NY

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

Patrick Anderson Rpa 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 ID6204890494
PECOS Enrollment IDI20150123000356
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

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.

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.
24 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471304
Location189 Prouty DriveNewport, VT 05855 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05819 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%2,291 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
38%119 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%53 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%838 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%838 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%838 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
26%838 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
6 suppliers18 claims41 services$5.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims17 services$1.00 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
1 supplier13 claims13 services$108.81 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
3 suppliers25 claims25 services$175.81 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 11

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

Family Medicine
185 SHERMAN DR
ST JOHNSBURY, VT 05819
Nurse Practitioner (Family)
185 SHERMAN DR
ST JOHNSBURY, VT 05819
Nurse Practitioner (Adult Health)
185 SHERMAN DR, SUITE 2
ST JOHNSBURY, VT 05819
Counselor (Mental Health)
185 SHERMAN DR, SUITE 2
ST JOHNSBURY, VT 05819
Clinic/Center (Federally Qualified Health Center (FQHC))
185 SHERMAN DR
ST JOHNSBURY, VT 05819
Clinical Nurse Specialist (Psychiatric/Mental Health, Community)
185 SHERMAN DR
ST JOHNSBURY, VT 05819
Nurse Practitioner (Family)
185 SHERMAN DR
ST JOHNSBURY, VT 05819
Family Medicine
185 SHERMAN DR
ST JOHNSBURY, VT 05819

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 Patrick Anderson's NPI number?

The NPI number for Patrick Anderson is 1487640165. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Patrick Anderson located?

Patrick Anderson practices at 185 Sherman Dr, St Johnsbury, VT 05819. The listed phone number is (802) 748-5041.

What is Patrick Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Patrick Anderson enrolled in Medicare?

Yes. Patrick 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 Patrick Anderson accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Patrick 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 Patrick Anderson affiliated with any hospitals?

According to CMS data, Patrick Anderson is affiliated with Mary Hitchcock Memorial Hospital, Northeastern Vermont Regional Hospital and North Country Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for Patrick Anderson was last updated on October 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.