TIM ANDERSON P.A.
NPI 1598813339
Physician Assistant in Roslyn, NY

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576(516) 338-5358 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tim Anderson P.a. NPPES

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

TIM ANDERSON P.A. (NPI 1598813339) is an individual physician assistant in Roslyn, New York, licensed in New York (006710) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1598813339
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIM ANDERSONCredential: P.A.
Location Address100 PORT WASHINGTON BLVDRoslyn, NY 11576-1353
Mailing Address1400 Old Country RdWestbury, NY 11590-5156 · (516) 338-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1598813339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 006710
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 PORT WASHINGTON BLVD, Roslyn, NY 11576

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

Tim Anderson P.a. 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 ID42409625
PECOS Enrollment IDI20110113000143
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.

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11576 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

Nurse Practitioner (Acute Care)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Internal Medicine (Clinical Cardiac Electrophysiology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Pediatrics (Pediatric Cardiology)
100 PORT WASHINGTON BLVD, SUITE 108
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Emergency Medicine
100 PORT WASHINGTON BLVD, DEPT OF EMERGENCY MEDICINE
ROSLYN, NY 11576
Nurse Practitioner (Family)
100 PORT WASHINGTON BLVD, ST. FRANCIS HOSPITAL EMERGENCY ROOM
ROSLYN, NY 11576

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 Tim Anderson's NPI number?

The NPI number for Tim Anderson is 1598813339. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Tim Anderson located?

Tim Anderson practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 338-5358.

What is Tim Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tim Anderson enrolled in Medicare?

Yes. Tim 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.

Is Tim Anderson affiliated with any hospitals?

According to CMS data, Tim Anderson is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Tim Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.