DR. CHARLES ABE ANDERSEN
NPI 1639149479
Surgery - Vascular Surgery in Tacoma, WA

Active since January 24, 2006PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3885(253) 968-5997 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles Abe Andersen NPPES

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

DR. CHARLES ABE ANDERSEN (NPI 1639149479) is an individual vascular surgery provider in Tacoma, Washington, licensed in Utah (151353-1205) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639149479
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. CHARLES ABE ANDERSEN
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address1302 28th Avenue CtMilton, WA 98354-7007 · (253) 952-2135 · Fax (253) 952-8816
Fax(253) 968-5997
Sole ProprietorYes
Enumeration DateJanuary 24, 2006
Last NPPES UpdateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
NPI 1639149479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in UT · 151353-1205
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

9040 JACKSON AVE, Tacoma, WA 98431

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Charles Abe Andersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 10

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier45 claims45 services$9.10 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier11 claims11 services$0.65 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier28 claims560 services$3.36 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier61 claims1,440 services$6.14 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier25 claims500 services$4.93 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier52 claims1,040 services$2.63 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 20

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

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Charles Andersen's NPI number?

The NPI number for Charles Andersen is 1639149479. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Charles Andersen located?

Charles Andersen practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-3885.

What is Charles Andersen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Charles Andersen enrolled in Medicare?

Yes. Charles Andersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Andersen was last updated on August 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.