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HOLLY ANDERSEN MD
NPI 1619064706
Internal Medicine - Cardiovascular Disease in New York, NY

Active since October 09, 2006Opted out of Medicare · through Dec 6, 2027
125 E 72ND ST, NEW YORK, NY 10021(212) 628-6100(212) 746-8451 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly Andersen Md NPPES

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

HOLLY ANDERSEN MD (NPI 1619064706) is an individual cardiovascular disease provider in New York, New York, licensed in New York (183198) and active in the NPI registry since October 2006. She has opted out of Medicare through December 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619064706
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameHOLLY ANDERSENCredential: MD
Location Address125 E 72ND STNew York, NY 10021-4250
Mailing Address125 E 72nd StNew York, NY 10021-4250 · (212) 746-0373 · Fax (212) 746-7481
Phone(212) 628-6100
Fax(212) 746-8451
Sole ProprietorNo
Enumeration DateOctober 9, 2006
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1619064706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 183198
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 183198 (NY)
125 E 72ND ST, New York, NY 10021
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Other Identifiers 3

Medicare UPING04093NY
Medicare ID-Type Unspecified82K251NY
Medicaid01360521NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Holly Andersen Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 6, 2017 through December 6, 2027.

Opt-Out Effective DateDecember 6, 2017
Opt-Out In Effect ThroughDecember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$65.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EMILY KOTT EIDA M.D.
Pediatrics
125 E 72ND ST, SUITE 1A
NEW YORK, NY 10021
New York County (212) 988-6500
DR. NANCY H COLES MD
Ophthalmology
125 E 72ND ST, 1B
NEW YORK, NY 10021
New York County (212) 879-8886
JACQUELINE BAKER M.D.
Clinic/Center (Primary Care)
125 E 72ND ST, SUITE 1A
NEW YORK, NY 10021
New York County (211) 298-8650

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 Holly Andersen's NPI number?

The NPI number for Holly Andersen is 1619064706. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Holly Andersen located?

Holly Andersen practices at 125 E 72nd St, New York, NY 10021. The listed phone number is (212) 628-6100.

What is Holly Andersen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Holly Andersen enrolled in Medicare?

No. Holly Andersen has opted out of Medicare through December 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Holly Andersen was last updated on September 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.