TRACI A ANDERSON D.O.
NPI 1619911757
Family Medicine in Pendleton, IN

Q: What is Traci Anderson's NPI number?

The NPI number for Traci Anderson is 1619911757. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Traci 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 Traci Anderson was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 16, 2006PECOS EnrolledAccepts Medicare Assignment

200 ENTERPRISE DR STE A, PENDLETON, IN 46064(765) 298-4567 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2025, Aug 31, 2020, Jan 31, 2017 (3 updates tracked since 2017).

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About Traci A Anderson D.o. NPPES

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

TRACI A ANDERSON D.O. (NPI 1619911757) is an individual family medicine provider in Pendleton, Indiana, licensed in Indiana (02003246A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Anderson, and maintains a secondary practice location in Pendleton.

NPPES Registry Identity

NPI1619911757

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTRACI A ANDERSONCredential: D.O.

Location Address200 ENTERPRISE DR STE APendleton, IN 46064-9038

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (765) 298-4569 · Fax (765) 298-4568

Phone(765) 298-4567

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2003

Enumeration DateJune 16, 2006

Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1619911757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 02003246A✔ Licensed in OH · 34008676

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.

200 ENTERPRISE DR STE A, Pendleton, IN 46064

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Secondary Practice Location 1

Location 11251 Huntzinger Blvd Ste 100Pendleton, IN 46064-9404 · Phone (765) 298-4567 · Fax (765) 298-4568

Other Identifiers 3

OtherP00474998Railroad Medicare

OtherP01018446IN · Rr Medicare

Other000000527527IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Traci A Anderson D.o. 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 ID9638182579

PECOS Enrollment IDI20070823000301

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 Reassignment

Medicare enrollment records show Traci Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Physicians Of Indiana Inc

17 mi

Family Medicine

7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256

Reassigned Medicare billing, Indiana enrollment
2,087 clinicians in this Medicare group

NPI 1619105244 (317) 355-5555

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 8

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.

168 services107 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

99 services99 patients

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.

63 services59 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

55 services30 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

35 services35 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150088

Location2015 Jackson StAnderson, IN 46016 · Madison County

Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150113

Location1515 N Madison AveAnderson, IN 46011 · Madison County

Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46064 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers31 claims90 services$6.50 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims25 services$1.07 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 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 6

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

NATHAN JAMES STEPHENS MD

Family Medicine