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KATHRYN ANDERSON MD
NPI 1730640707
Emergency Medicine in San Diego, CA

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
4647 ZION AVE STE 1116, SAN DIEGO, CA 92120(619) 528-5164 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2025, Nov 14, 2022, Sep 7, 2022 and 2 more (5 updates tracked since 2019).

About Kathryn Anderson Md NPPES

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

KATHRYN ANDERSON MD (NPI 1730640707) is an individual emergency medicine provider in San Diego, California, licensed in California (A177926) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730640707
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKATHRYN ANDERSONCredential: MD
Location Address4647 ZION AVE STE 1116San Diego, CA 92120-2507
Mailing Address4647 Zion Ave Ste 1116San Diego, CA 92120-2507 · (619) 528-5164
Phone(619) 528-5164
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 30, 2019
Last NPPES UpdateFebruary 9, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2025
✔ NPI 1730640707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A177926✔ Licensed in AZ · 74515✔ Licensed in IL · 125.073868
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.
4647 ZION AVE STE 1116, San Diego, CA 92120
Open in Google Maps ↗

Secondary Practice Location 1

Location 15841 S Maryland Ave # Mc1052Chicago, IL 60637-1443 · Phone (773) 702-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..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

Kathryn 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 ID1052646478
PECOS Enrollment IDI20220914002245
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

3

Medicare enrollment records show Kathryn Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000
Cep America - California
13 mi
Emergency Medicine
751 MEDICAL CENTER COURT
Chula Vista, CA 91911
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1588552848 (California)
  • 1,204 clinicians in this Medicare group
NPI 1457304529 (619) 482-5800
Temecula Valley Emergency Physicians, Inc
48 mi
Emergency Medicine
31700 TEMECULA PKWY
Temecula, CA 92592
  • Reassigned Medicare billing, California enrollment
  • 77 clinicians in this Medicare group
NPI 1407281223 (424) 241-1546

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 6

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.
189 services186 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
99 services90 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.
79 services79 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.
33 services33 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
17 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 18

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

ANTHONY MANNARINO MD
Emergency Medicine
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (442) 385-7000
NATHAN JANG MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (619) 528-5164
KATHERINE JOO YEON AN DO
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (619) 528-5164
MADISON DEMMER
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (817) 653-3205
DOMONIQUE JANAE PATTERSON MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (833) 574-2273
ASHLEY BARLEY MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (808) 927-6227
DR. KRISTEL RAE CHOY MD, MS
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (619) 528-5164
JOSEPH ANDREW GERONDALE
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (714) 580-9636

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 Kathryn Anderson's NPI number?

The NPI number for Kathryn Anderson is 1730640707. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Kathryn Anderson located?

Kathryn Anderson practices at 4647 Zion Ave Ste 1116, San Diego, CA 92120. The listed phone number is (619) 528-5164.

What is Kathryn Anderson's specialty?

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

Is Kathryn Anderson enrolled in Medicare?

Yes. Kathryn 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 Kathryn Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Anderson reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (San Diego, CA), Cep America - California (Chula Vista, CA) and Temecula Valley Emergency Physicians, Inc (Temecula, CA). 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 Kathryn Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Anderson accept?

Health plans from Oscar Health Plan, Inc. list Kathryn 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 Kathryn Anderson was last updated on February 9, 2025. 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.