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DR. LUIS M ANDERSON M.D.
NPI 1649337635
Pediatrics in Saint Augustine, FL

Active since January 02, 2007PECOS Enrolled
3670 US 1 S STE 300B, SAINT AUGUSTINE, FL 32086(904) 479-9501(904) 217-0524 Get Directions Write a Review

NPPES record last updated: February 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Luis M Anderson M.d. NPPES

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

DR. LUIS M ANDERSON M.D. (NPI 1649337635) is an individual pediatrics provider in Saint Augustine, Florida, licensed in Florida (ME0089595) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Interlachen.

NPPES Registry Identity

NPI1649337635
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. LUIS M ANDERSONCredential: M.D.
Location Address3670 US 1 S STE 300BSaint Augustine, FL 32086-6354
Mailing Address3670 Us 1 S Ste 300bSaint Augustine, FL 32086-6354 · (904) 479-9501 · Fax (904) 217-0524
Phone(904) 479-9501
Fax(904) 217-0524
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateFebruary 1, 2020
✔ NPI 1649337635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME0089595
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3670 US 1 S STE 300B, Saint Augustine, FL 32086
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Secondary Practice Location 1

Location 1885 State Road 20Interlachen, FL 32148-2430 · Phone (863) 643-0400 · Fax (386) 350-0398

Other Identifiers 4

Medicaid269304600FL
Other7201378FL · Aetna
Other650598984FL · Tax Id
Other37560FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Health Plan, Inc. 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 (PECOS)

Dr. Luis M Anderson M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Luis Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christian Family Medicine
632 mi
Family
79 HIGHWAY 51 S
Ripley, TN 38063
  • Reassigned Medicare billing, Tennessee enrollment
  • 76 clinicians in this Medicare group
NPI 1720338833 (731) 635-8189
Dyersburg Family Walk-In Clinic LLC
637 mi
Rural Health
1954 ST JOHN AVE, SUITE 1
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 44 clinicians in this Medicare group
NPI 1174712780 (731) 285-6110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Luis Anderson's NPI number?

The NPI number for Luis Anderson is 1649337635. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Luis Anderson located?

Luis Anderson practices at 3670 Us 1 S Ste 300B, Saint Augustine, FL 32086. The listed phone number is (904) 479-9501.

What is Luis Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Luis Anderson enrolled in Medicare?

Yes. Luis Anderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luis Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Anderson reassigns Medicare benefits to 2 organizations: Christian Family Medicine (Ripley, TN) and Dyersburg Family Walk-In Clinic LLC (Dyersburg, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Anderson accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Luis Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luis Anderson was last updated on February 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.