KARL E. ANDERSON MD
NPI 1487713277
Internal Medicine - Gastroenterology in Galveston, TX

Active since December 07, 2006PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
301 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 772-2222 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karl E. Anderson Md NPPES

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

KARL E. ANDERSON MD (NPI 1487713277) is an individual gastroenterology provider in Galveston, Texas, licensed in Texas (H3778) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Johns Hopkins University School Of Medicine (1965).

NPPES Registry Identity

NPI1487713277
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKARL E. ANDERSONCredential: MD
Location Address301 UNIVERSITY BLVDGalveston, TX 77555-5302
Mailing Address301 University BlvdGalveston, TX 77555-5302 · (409) 772-2222
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1965
Enumeration DateDecember 7, 2006
Last NPPES UpdateMay 18, 2009
NPI 1487713277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · H3778
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
301 UNIVERSITY BLVD, Galveston, TX 77555

Other Identifiers 3

Medicaid129065201TX
Medicare ID-Type Unspecified80T821TX
Medicare UPINA62043TX

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

Karl E. 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 ID42346918
PECOS Enrollment IDI20100330000855
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.

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.
37 services32 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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.

Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555

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 Karl Anderson's NPI number?

The NPI number for Karl Anderson is 1487713277. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Karl Anderson located?

Karl Anderson practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 772-2222.

What is Karl Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Karl Anderson enrolled in Medicare?

Yes. Karl 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 Karl Anderson accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Karl 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 Karl Anderson affiliated with any hospitals?

According to CMS data, Karl Anderson is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Karl Anderson was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.