ANTHONY D'ANDREA MD
NPI 1497149637
Colon & Rectal Surgery in Galveston, TX

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
1005 HARBORSIDE DR 5TH FLOOR, GALVESTON, TX 77555(409) 772-6789 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2022, Mar 26, 2021 (2 updates tracked since 2021).

About Anthony D'andrea Md NPPES

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

ANTHONY D'ANDREA MD (NPI 1497149637) is an individual colon & rectal surgery provider in Galveston, Texas, licensed in Texas (47765) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and maintains a secondary practice location in Boynton Beach.

NPPES Registry Identity

NPI1497149637
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameANTHONY D'ANDREACredential: MD
Location Address1005 HARBORSIDE DR 5TH FLOORGalveston, TX 77555-8333
Mailing AddressPo Box 650859, Dept 710Dallas, TX 75265-0859 · (409) 772-6789
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2015
Enumeration DateMarch 25, 2015
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
NPI 1497149637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in TX · 47765
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1005 HARBORSIDE DR 5TH FLOOR, Galveston, TX 77555

Secondary Practice Location 1

Location 12952 Quantum Lakes DrBoynton Beach, FL 33426-8333 · Phone (832) 372-5482

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

Anthony D'andrea 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 ID5193062461
PECOS Enrollment IDI20221013002448
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 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.
48 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 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
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$71.32 typical visit price
range $18.45 – $141.36
Typical copayment $17.83 (range $4.61 – $35.34)
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.

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 9

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

Dermatology
1005 HARBORSIDE DR 5TH FLOOR
GALVESTON, TX 77555
Neurological Surgery
1005 HARBORSIDE DR 5TH FLOOR
GALVESTON, TX 77555
Nurse Practitioner (Gerontology)
1005 HARBORSIDE DR 5TH FLOOR
GALVESTON, TX 77555
Surgery (Vascular Surgery)
1005 HARBORSIDE DR 5TH FLOOR
GALVESTON, TX 77555
Dermatology
1005 HARBORSIDE DR 5TH FLOOR
GALVESTON, TX 77555
Neurological Surgery
1005 HARBORSIDE DR 5TH FLOOR
GALVESTON, TX 77555
Colon & Rectal Surgery
1005 HARBORSIDE DR 5TH FLOOR
GALVESTON, TX 77555
Dermatology
1005 HARBORSIDE DR 5TH FLOOR
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 Anthony D'andrea's NPI number?

The NPI number for Anthony D'andrea is 1497149637. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Anthony D'andrea located?

Anthony D'andrea practices at 1005 Harborside Dr 5th Floor, Galveston, TX 77555. The listed phone number is (409) 772-6789.

What is Anthony D'andrea's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Anthony D'andrea enrolled in Medicare?

Yes. Anthony D'andrea 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 Anthony D'andrea accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and WellPoint list Anthony D'andrea 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 Anthony D'andrea affiliated with any hospitals?

According to CMS data, Anthony D'andrea is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Anthony D'andrea was last updated on October 27, 2022. 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.