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ANTHONY ANDERSON MD
NPI 1679524094
Family Medicine in Festus, MO

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
1479A U.S. HIGHWAY 61, FESTUS, MO 63028(636) 931-5533(636) 931-5502 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Anderson Md NPPES

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

ANTHONY ANDERSON MD (NPI 1679524094) is an individual family medicine provider in Festus, Missouri, licensed in Illinois (036119093) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1986).

NPPES Registry Identity

NPI1679524094
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY ANDERSONCredential: MD
Location Address1479A U.S. HIGHWAY 61Festus, MO 63028-4123
Mailing Address1479a U.s. Highway 61Festus, MO 63028-4123 · (636) 931-5533 · Fax (636) 931-5502
Phone(636) 931-5533
Fax(636) 931-5502
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1986
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1679524094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036119093
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MDR7H67 (MO), 036119093 (IL)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 036119093 (IL)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 036119093 (IL)
1479A U.S. HIGHWAY 61, Festus, MO 63028
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Other Identifiers 3

Other200132704MO · Cds
Medicaid205069909MO
Medicaid036119093IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Anthony 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 ID7719922285
PECOS Enrollment IDI20070625000665
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 10

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 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.
108 services53 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.
107 services36 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
48 services21 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
48 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
35 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Ste Genevieve County Memorial Hospital

Critical Access Hospitals · Sainte Genevieve, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261330
Location800 Ste Genevieve Drive, PO Box 468Sainte Genevieve, MO 63670 · Ste. Genevieve County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES

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

OCCUPATIONAL AND PAIN MANAGEMENT PROFESSIONALS, INC.
Anesthesiology (Pain Medicine)
1479A U.S. HIGHWAY 61
FESTUS, MO 63028
Jefferson County (636) 931-5533

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 Anthony Anderson's NPI number?

The NPI number for Anthony Anderson is 1679524094. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Anthony Anderson located?

Anthony Anderson practices at 1479A U.S. Highway 61, Festus, MO 63028. The listed phone number is (636) 931-5533.

What is Anthony Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Anderson enrolled in Medicare?

Yes. Anthony 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.

What insurance does Anthony Anderson accept?

Health plans from UnitedHealthcare list Anthony 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 Anthony Anderson affiliated with any hospitals?

According to CMS data, Anthony Anderson is affiliated with Mercy Hospital Jefferson, Mercy Hospital South and Ste Genevieve County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Anderson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.