DEREK JAMES ANDERSON MD
NPI 1568468171
Family Medicine in Baton Rouge, LA

Q: What is Derek Anderson's NPI number?

The NPI number for Derek Anderson is 1568468171. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Derek Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Anderson was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment

9001 SUMMA AVE, BATON ROUGE, LA 70809(225) 761-5200(225) 761-5487 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Derek James Anderson Md NPPES

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

DEREK JAMES ANDERSON MD (NPI 1568468171) is an individual family medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (10793R) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center - Baton Rouge, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1993).

NPPES Registry Identity

NPI1568468171

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDEREK JAMES ANDERSONCredential: MD

Location Address9001 SUMMA AVEBaton Rouge, LA 70809-3726

Mailing Address1514 Jefferson Hwy, Bldg 200New Orleans, LA 70121-2429 · (225) 237-1754 · Fax (225) 237-1722

Phone(225) 761-5200

Fax(225) 761-5487

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1993

Enumeration DateJune 28, 2005

Last NPPES UpdateApril 29, 2016

✔ NPI 1568468171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 10793R

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.

9001 SUMMA AVE, Baton Rouge, LA 70809

Open in Google Maps ↗

Other Identifiers 11

Other080179869LA · Railroad Medicare Pin

Medicare PIN270663YH3VLA

Medicare UPINF89100

Medicaid00876731MS

Other990008020LA · Railroad Medicare Pin

Medicare PIN5U730C822LA

Medicare PIN5U730CD43LA

Medicare PIN5U730D993LA

Other270663YJGULA · Medicare Ptan

Medicaid1996254LA

Medicare PIN5U730D409LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Derek 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 ID9537178322

PECOS Enrollment IDI20060405000578

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 2

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 moderate level of decision making, if using time, 30 minutes or more 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.

64 services47 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

61 services46 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190202

Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 20

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

DR. THOMAS R FAIRLEY O.D.

Optometrist