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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. TONDA M. ANDERSON M.D.
NPI 1649278359
Family Medicine in Mount Washington, KY

Active since July 07, 2005PECOS Enrolled
10536 HIGHWAY 44 E, MOUNT WASHINGTON, KY 40047(502) 538-2554(502) 538-2426 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tonda M. Anderson M.d. NPPES

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

DR. TONDA M. ANDERSON M.D. (NPI 1649278359) is an individual family medicine provider in Mount Washington, Kentucky, licensed in Kentucky (38446) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Louisville School Of Medicine (2001).

NPPES Registry Identity

NPI1649278359
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TONDA M. ANDERSONCredential: M.D.
Location Address10536 HIGHWAY 44 EMount Washington, KY 40047-7338
Mailing Address10536 Highway 44 EMount Washington, KY 40047-7338 · (502) 538-2554 · Fax (502) 538-2426
Phone(502) 538-2554
Fax(502) 538-2426
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2001
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1649278359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 38446
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.

10536 HIGHWAY 44 E, Mount Washington, KY 40047
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Other Identifiers 1

Medicaid64081284KY

Accepted Insurance

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

Dr. Tonda M. Anderson M.d. 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 ID1557337417
PECOS Enrollment IDI20040902000851
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
99 services61 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.
64 services45 patients
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.
50 services41 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.
43 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40047 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

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

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
1 supplier11 claims11 services$38.30 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
2 suppliers14 claims14 services$185.27 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

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

TONDA M. ANDERSON M.D. PLLC
Family Medicine
10536 HIGHWAY 44 E
MOUNT WASHINGTON, KY 40047
Bullitt County (502) 538-2554

Frequently Asked Questions

What is Tonda Anderson's NPI number?

The NPI number assigned to this healthcare provider is 1649278359, enumerated as an "individual" on July 07, 2005.

Where is the provider located?

The provider is located at 10536 HIGHWAY 44 E MOUNT WASHINGTON, KY 40047 and the phone number is (502) 538-2554.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Tonda Anderson accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Is Tonda Anderson affiliated with any hospitals?

Tonda Anderson is affiliated with: BAPTIST HEALTH HARDIN, JEWISH HOSPITAL & ST MARY'S HEALTHCARE, NORTON HOSPITALS, INC and BAPTIST HEALTH LAGRANGE.