MICHAEL J ANDERSON MD
NPI 1558353243
Orthopaedic Surgery in Grafton, WI

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
975 PORT WASHINGTON ROAD, SUITE 110, GRAFTON, WI 53024(262) 387-8300 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael J Anderson Md NPPES

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

MICHAEL J ANDERSON MD (NPI 1558353243) is an individual orthopaedic surgery provider in Grafton, Wisconsin, licensed in Wisconsin (35450) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Medical College Of Wisconsin (1988).

NPPES Registry Identity

NPI1558353243
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL J ANDERSONCredential: MD
Location Address975 PORT WASHINGTON ROAD, SUITE 110Grafton, WI 53024-9201
Mailing Address3003 W Good Hope RdMilwaukee, WI 53209-2042 · (414) 352-3100
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1988
Enumeration DateAugust 18, 2005
Last NPPES UpdateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
NPI 1558353243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 35450
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

975 PORT WASHINGTON ROAD, Grafton, WI 53024

Other Identifiers 2

Medicaid32052500WI
OtherP00742970WI · Rr Medicare

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

Michael J 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 ID7517951791
PECOS Enrollment IDI20080402000751
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 14

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.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
130 services24 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.
107 services94 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
62 services60 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
61 services54 patients
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.
59 services57 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
46 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Orthopaedic Surgery
975 PORT WASHINGTON ROAD, SUITE 110
GRAFTON, WI 53024
Physical Therapist
975 PORT WASHINGTON ROAD
GRAFTON, WI 53024
Surgery
975 PORT WASHINGTON ROAD, SUITE 320
GRAFTON, WI 53024
Pharmacy
975 PORT WASHINGTON ROAD, SUITE 100
GRAFTON, WI 53024
Registered Nurse
975 PORT WASHINGTON ROAD
GRAFTON, WI 53024
Orthopaedic Surgery
975 PORT WASHINGTON ROAD, SUITE 110
GRAFTON, WI 53024
Orthopaedic Surgery
975 PORT WASHINGTON ROAD, SUITE 110
GRAFTON, WI 53024
Orthopaedic Surgery (Hand Surgery)
975 PORT WASHINGTON ROAD, SUITE 110
GRAFTON, WI 53024

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 Michael Anderson's NPI number?

The NPI number for Michael Anderson is 1558353243. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Michael Anderson located?

Michael Anderson practices at 975 Port Washington Road Suite 110, Grafton, WI 53024. The listed phone number is (262) 387-8300.

What is Michael Anderson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Anderson enrolled in Medicare?

Yes. Michael 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 Michael Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Michael 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 Michael Anderson affiliated with any hospitals?

According to CMS data, Michael Anderson is affiliated with Aurora St Lukes Medical Center and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Anderson was last updated on November 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.