DR. BENJAMIN JAMES ANDERSON MD
NPI 1497098404
Psychiatry & Neurology - Child & Adolescent Psychiatry in Hartford, CT

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106(860) 545-7493 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 4, 2017, Jun 14, 2017 (3 updates tracked since 2017).

About Dr. Benjamin James Anderson Md NPPES

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

DR. BENJAMIN JAMES ANDERSON MD (NPI 1497098404) is an individual child & adolescent psychiatry provider in Hartford, Connecticut, licensed in Connecticut (055670) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497098404
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. BENJAMIN JAMES ANDERSONCredential: MD
Location Address200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPTHartford, CT 06106-3309
Mailing Address200 Retreat Ave, Hartford Hospital Psychiatry DeptHartford, CT 06106-3309 · (860) 545-7493
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 28, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1497098404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CT · 055670
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 055670 (CT), MD043098 (DC)
200 RETREAT AVE, Hartford, CT 06106

Accepted 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. Benjamin 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 ID7416224795
PECOS Enrollment IDI20170517002647
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 Benjamin Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
282 WASHINGTON ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 601 clinicians in this Medicare group
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group
Psychiatry
550 BROAD ST STE 606
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 141 clinicians in this Medicare group

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

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 (Psychiatric/Mental Health)
200 RETREAT AVE
HARTFORD, CT 06106
Speech-Language Pathologist
200 RETREAT AVE
HARTFORD, CT 06106
Nurse Practitioner (Psychiatric/Mental Health)
200 RETREAT AVE
HARTFORD, CT 06106
Marriage & Family Therapist
200 RETREAT AVE
HARTFORD, CT 06106
Clinical Neuropsychologist
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT
HARTFORD, CT 06106
Psychiatry & Neurology (Psychiatry)
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Social Worker
200 RETREAT AVE
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
200 RETREAT AVE
HARTFORD, CT 06106

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 Benjamin Anderson's NPI number?

The NPI number for Benjamin Anderson is 1497098404. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Benjamin Anderson located?

Benjamin Anderson practices at 200 Retreat Ave Hartford Hospital Psychiatry Dept, Hartford, CT 06106. The listed phone number is (860) 545-7493.

What is Benjamin Anderson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Benjamin Anderson enrolled in Medicare?

Yes. Benjamin 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 Benjamin Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Anderson reassigns Medicare benefits to 3 organizations: Connecticut Children's Specialty Group, Inc. (Hartford, CT), Hartford Hospital (Hartford, CT) and Jls Medical PC (Newark, NJ). 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 Benjamin Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield list Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Anderson was last updated on July 21, 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.