JACK ANDERSON MD
NPI 1659338887
Emergency Medicine in Scottsdale, AZ
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 Parkview Regional Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Jack Anderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Killeen, TX 76549
- Reassigned Medicare billing, Texas enrollment
- 214 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Frisco, TX 75033
- Reassigned Medicare billing, Texas enrollment
- 279 clinicians in this Medicare group
Port Lavaca, TX 77979
- Reassigned Medicare billing, Texas enrollment
- 109 clinicians in this Medicare group
Independence, MO 64057
- Reassigned Medicare billing, Missouri enrollment
- 182 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Regional Hospital
Acute Care Hospitals · Mexia, TXHill Regional Hospital
Critical Access Hospitals · Hillsboro, TXSeton Medical Center Harker Heights
Acute Care Hospitals · Harker Heights, TXPhysician 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.
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.
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.
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
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 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.
Where is Jack Anderson located?
Jack Anderson practices at 9787 N 91st St Ste 101, Scottsdale, AZ 85258. The listed phone number is (480) 563-6400.
What is Jack Anderson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jack Anderson enrolled in Medicare?
Yes. Jack Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jack Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Anderson reassigns Medicare benefits to 5 organizations: Emergency Associates Of Central Texas PA (Killeen, TX), Travis County Emergency Physicians PA (Austin, TX), Legacy Urgent Care, PA (Frisco, TX), Ess Of Port Lavaca LLC (Port Lavaca, TX) and Emergency Medicine Services Of Mo, LLC (Independence, MO). 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 Jack Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Anderson accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Jack 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.
Is Jack Anderson affiliated with any hospitals?
According to CMS data, Jack Anderson is affiliated with Parkview Regional Hospital, Hill Regional Hospital and Seton Medical Center Harker Heights.
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 23 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.
# Jack Anderson, MD · NPI 1659338887
Emergency Medicine physician in Scottsdale, Arizona. Individual provider, active in the CMS NPPES registry since May 1, 2006.
## Identity
- **NPI:** 1659338887 (Entity type: Individual)
- **Enumerated:** May 1, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** R5501 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9787 N 91ST ST STE 101, Scottsdale, AZ 85258-5088
- **Phone:** (480) 563-6400 · **Fax:** (480) 563-8009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Emergency Associates Of Central Texas PA (NPI 1215418280, Killeen, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX); Legacy Urgent Care, PA (NPI 1568622272, Frisco, TX); Ess Of Port Lavaca LLC (NPI 1922546936, Port Lavaca, TX); Emergency Medicine Services Of Mo, LLC (NPI 1023715182, Independence, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 21, 2024
- **Other identifiers:** Medicaid 200055660A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1659338887) · Data from the CMS NPPES public registry.