ANDREA KRISTINE ANTHONY M.D.
NPI 1669513156
Internal Medicine - Pulmonary Disease in North Kansas City, MO

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
2790 CLAY EDWARDS DR, SUITE 605, NORTH KANSAS CITY, MO 64116(816) 691-5098(816) 346-7401 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Kristine Anthony M.d. NPPES

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

ANDREA KRISTINE ANTHONY M.D. (NPI 1669513156) is an individual pulmonary disease provider in North Kansas City, Missouri, licensed in Missouri (2007028757) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2002).

NPPES Registry Identity

NPI1669513156
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameANDREA KRISTINE ANTHONYCredential: M.D.
Location Address2790 CLAY EDWARDS DR, SUITE 605North Kansas City, MO 64116-3276
Mailing Address2790 Clay Edwards Dr, Suite 605North Kansas City, MO 64116-3276 · (816) 691-5098 · Fax (816) 346-7401
Fax(816) 346-7401
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2002
Enumeration DateFebruary 9, 2007
Last NPPES UpdateFebruary 2, 2017
NPI 1669513156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in MO · 2007028757 Licensed in KS · 04-30908
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 04-3098 (KS)
2790 CLAY EDWARDS DR, North Kansas City, MO 64116

Other Identifiers 2

Medicaid1669513156MO
Medicare UPINMA4636003MO

Accepted 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

Andrea Kristine Anthony 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 ID3476568536
PECOS Enrollment IDI20090902000382
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 19

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.

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.
307 services207 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
296 services145 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.
220 services109 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
200 services110 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.
115 services112 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
100 services94 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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 35

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers104 claims104 services$31.22 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
9 suppliers80 claims170 services$1.23 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier16 claims32 services$0.92 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
10 suppliers48 claims48 services$14.28 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
4 suppliers19 claims21 services$0.62 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers94 claims94 services$74.38 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.

Registered Nurse (Critical Care Medicine)
2790 CLAY EDWARDS DR, SUITE 510
N KANSAS CITY, MO 64116
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116
Podiatrist
2790 CLAY EDWARDS DR, SUITE 570
N KANSAS CITY, MO 64116
Internal Medicine (Cardiovascular Disease)
2790 CLAY EDWARDS DR, SUITE 520
NORTH KANSAS CITY, MO 64116
Orthopaedic Surgery
2790 CLAY EDWARDS DR, SUITE #650
NORTH KANSAS CITY, MO 64116
Nurse Practitioner
2790 CLAY EDWARDS DR, STE 1230
NORTH KANSAS CITY, MO 64116
Nurse Practitioner (Family)
2790 CLAY EDWARDS DR, SUITE 410
NORTH KANSAS CITY, MO 64116
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116

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 Andrea Anthony's NPI number?

The NPI number for Andrea Anthony is 1669513156. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Andrea Anthony located?

Andrea Anthony practices at 2790 Clay Edwards Dr Suite 605, North Kansas City, MO 64116. The listed phone number is (816) 691-5098.

What is Andrea Anthony's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andrea Anthony enrolled in Medicare?

Yes. Andrea Anthony 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.

What insurance does Andrea Anthony accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Andrea Anthony 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 Andrea Anthony affiliated with any hospitals?

According to CMS data, Andrea Anthony is affiliated with University Of Kansas Hospital and North Kansas City Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Anthony was last updated on February 2, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.