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DR. JAMES DAVID ANDREWS M.D.
NPI 1558528745
Otolaryngology in Anchorage, AK

Active since May 16, 2008PECOS EnrolledAccepts Medicare Assignment
65.45/100
CMS Quality Rating
3831 PIPER ST STE S433, ANCHORAGE, AK 99508(907) 561-1421(907) 561-0327 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, May 2, 2022 (2 updates tracked since 2022).

About Dr. James David Andrews M.d. NPPES

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

DR. JAMES DAVID ANDREWS M.D. (NPI 1558528745) is an individual otolaryngology provider in Anchorage, Alaska, licensed in Alaska (MED56483) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Eagle River, and is a graduate of Rush Medical College Of Rush University (2013).

NPPES Registry Identity

NPI1558528745
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JAMES DAVID ANDREWSCredential: M.D.
Location Address3831 PIPER ST STE S433Anchorage, AK 99508-6900
Mailing Address3831 Piper St Ste S433Anchorage, AK 99508-6900 · (907) 561-1421 · Fax (907) 561-0327
Phone(907) 561-1421
Fax(907) 561-0327
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2013
Enumeration DateMay 16, 2008
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1558528745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in AK · MED56483✔ Licensed in AK · 4922
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3831 PIPER ST STE S433, Anchorage, AK 99508
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Secondary Practice Location 1

Location 112641 Old Glenn Hwy Ste 201Eagle River, AK 99577-7040 · Phone (907) 726-0368 · Fax (907) 726-0371

Other Identifiers 1

Medicaid1008667AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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. James David Andrews M.d. 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 ID1153482617
PECOS Enrollment IDI20220811001330
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

5

Medicare enrollment records show James Andrews reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alaska Native Tribal Health Consortium
0.8 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662
South Peninsula Hospital Kenai Clinic
65 mi
Otolaryngology
220 SPUR VIEW DR
Kenai, AK 99611
  • Reassigned Medicare billing, Alaska enrollment
  • Medicare enrollment name: South Peninsula Hospital Inc
  • Also billed through NPI 1093968372 (Alaska)
  • 161 clinicians in this Medicare group
NPI 1164358529 (907) 235-8101
Bristol Bay Area Health Corporation
273 mi
Clinic/Center
5060 MAIN STREET
Koliganek, AK 99576
  • Reassigned Medicare billing, Texas enrollment
  • 360 clinicians in this Medicare group
NPI 1013079607 (907) 842-5201
Maniilaq Association
450 mi
Public Health, Federal
51003 MAIN ST.
Kobuk, AK 99751
  • Reassigned Medicare billing, Alaska and Texas enrollments
  • 100 clinicians in this Medicare group
NPI 1265709901 (907) 948-2221
Ear, Nose And Throat Specialists Alaska, Inc.
Otolaryngology/Facial Plastic Surgery
3831 PIPER STREET SUITE#S433
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 16 clinicians in this Medicare group
NPI 1972552891 (907) 563-3515

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 9

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.
108 services70 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.
47 services47 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.
43 services36 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
40 services34 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
32 services28 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

65.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.83
Promoting Interoperability100
Improvement Activities40
Cost10

Other Providers at the Same Location NPPES

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

BRENNA LYNNE GIBSON APRN, FNP-C
Nurse Practitioner (Family)
3831 PIPER ST STE S433
ANCHORAGE, AK 99508
Anchorage Municipality (907) 561-1421

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 James Andrews's NPI number?

The NPI number for James Andrews is 1558528745. It was assigned to this individual provider in the NPPES registry on May 16, 2008.

Where is James Andrews located?

James Andrews practices at 3831 Piper St Ste S433, Anchorage, AK 99508. The listed phone number is (907) 561-1421.

What is James Andrews's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Andrews enrolled in Medicare?

Yes. James Andrews 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 James Andrews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Andrews reassigns Medicare benefits to 5 organizations: Alaska Native Tribal Health Consortium (Anchorage, AK), South Peninsula Hospital Kenai Clinic (Kenai, AK), Bristol Bay Area Health Corporation (Koliganek, AK), Maniilaq Association (Kobuk, AK) and Ear, Nose And Throat Specialists Alaska, Inc. (Anchorage, AK). 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 James Andrews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Andrews accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list James Andrews 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 James Andrews was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.