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RUSSELL STEVEN ANDERSON D.O.
NPI 1548407513
Family Medicine in Tooele, UT

Active since January 13, 2009PECOS EnrolledAccepts Medicare Assignment
777 N MAIN ST, TOOELE, UT 84074(435) 843-2364(435) 228-0062 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell Steven Anderson D.o. NPPES

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

RUSSELL STEVEN ANDERSON D.O. (NPI 1548407513) is an individual family medicine provider in Tooele, Utah, licensed in Utah (5148252-1204) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Mountain West Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1548407513
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRUSSELL STEVEN ANDERSONCredential: D.O.
Location Address777 N MAIN STTooele, UT 84074-1611
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180 · (435) 743-5591
Phone(435) 843-2364
Fax(435) 228-0062
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 13, 2009
Last NPPES UpdateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1548407513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in UT · 5148252-1204✔ Licensed in UT · 5148252-8904
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.

777 N MAIN ST, Tooele, UT 84074
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Other Identifiers 1

Medicaid1548407513UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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

Russell Steven Anderson D.o. 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 ID6103094008
PECOS Enrollment IDI20110720000404
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 5

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, 30-39 minutes 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.
334 services165 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
18 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT
OwnershipProprietary
CMS Certification Number460014
Location2055 North Main StreetTooele, UT 84074 · Tooele County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 3

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

IHC HEALTH SERVICES INC
Emergency Medicine
777 N MAIN ST
TOOELE, UT 84074
Tooele County (801) 442-3156
TYSON BRADLEY OSWALD DO
Family Medicine
777 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-2634
VIVECA FALKS NP
Nurse Practitioner (Family)
777 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-2634

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 Russell Anderson's NPI number?

The NPI number for Russell Anderson is 1548407513. It was assigned to this individual provider in the NPPES registry on January 13, 2009.

Where is Russell Anderson located?

Russell Anderson practices at 777 N Main St, Tooele, UT 84074. The listed phone number is (435) 843-2364.

What is Russell Anderson's specialty?

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

Is Russell Anderson enrolled in Medicare?

Yes. Russell 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 Russell Anderson accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Russell 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 Russell Anderson affiliated with any hospitals?

According to CMS data, Russell Anderson is affiliated with Mountain West Medical Center.

When was this NPI record last updated?

The NPPES record for Russell Anderson was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.