JACK ANDERSON MD
NPI 1659338887
Emergency Medicine in Scottsdale, AZ

Q: What is Jack Anderson's NPI number?

The NPI number for Jack Anderson is 1659338887. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Jack Anderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Anderson was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 May 01, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

9787 N 91ST ST STE 101, SCOTTSDALE, AZ 85258(480) 563-6400(480) 563-8009 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jack Anderson Md NPPES

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

JACK ANDERSON MD (NPI 1659338887) is an individual emergency medicine provider in Scottsdale, Arizona, licensed in Texas (R5501) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hill Regional Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659338887

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJACK ANDERSONCredential: MD

Location Address9787 N 91ST ST STE 101Scottsdale, AZ 85258-5088

Mailing Address9787 N 91st St Ste 101Scottsdale, AZ 85258-5088 · (480) 563-6400 · Fax (480) 563-8009

Phone(480) 563-6400

Fax(480) 563-8009

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 1, 2006

Last NPPES UpdateNovember 21, 2024

NPPES CertifiedNovember 21, 2024

✔ NPI 1659338887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TX · R5501✔ Licensed in OK · 24265

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 45727 (AZ)

9787 N 91ST ST STE 101, Scottsdale, AZ 85258

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Other Identifiers 1

Medicaid200055660AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare 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

Jack Anderson Md 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 ID4688613318

PECOS Enrollment IDI20180205000337

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

107 services103 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

71 services68 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Hill Regional Hospital

Critical Access Hospitals · Hillsboro, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451395

Location101 Circle DriveHillsboro, TX 76645 · Hill County

Emergency services

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670080

Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85258 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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Other Providers at the Same Location NPPES 10

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

JILL MARIE STUDY FNP

Nurse Practitioner