MARK R MCANDREW M.D.
NPI 1740281674
Surgery in Lawrenceburg, IN

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
368 BIELBY RD, SUITE 100, LAWRENCEBURG, IN 47025(812) 537-5772(812) 537-3936 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark R Mcandrew M.d. NPPES

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

MARK R MCANDREW M.D. (NPI 1740281674) is an individual surgery provider in Lawrenceburg, Indiana, licensed in Indiana (01050466A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of University Of Kentucky College Of Medicine (1994).

NPPES Registry Identity

NPI1740281674
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARK R MCANDREWCredential: M.D.
Location Address368 BIELBY RD, SUITE 100Lawrenceburg, IN 47025-2774
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 344-5555 · Fax (859) 344-5552
Fax(812) 537-3936
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1994
Enumeration DateAugust 2, 2005
Last NPPES UpdateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
NPI 1740281674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in IN · 01050466A Licensed in OH · 35076656M
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

368 BIELBY RD, Lawrenceburg, IN 47025

Other Identifiers 7

Other1512442001Cigna
Other000000065468Anthem
Other1701603United Healthcare
Other116307IN · Anthem Medicaid Mco
OtherN50466Humana Choicecare
Other2180111Aetna
Medicaid200228410IN

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

Mark R Mcandrew 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 ID6204850530
PECOS Enrollment IDI20060125000440
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 11

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.

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.
143 services46 patients
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.
78 services69 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.
75 services64 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.
64 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services44 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
40 services39 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47025 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Surgery
368 BIELBY RD, SUITE 100
LAWRENCEBURG, IN 47025
Plastic Surgery
368 BIELBY RD
LAWRENCEBURG, IN 47025
Nurse Practitioner
368 BIELBY RD
LAWRENCEBURG, IN 47025
Surgery
368 BIELBY RD
LAWRENCEBURG, IN 47025
Surgery
368 BIELBY RD
LAWRENCEBURG, IN 47025
Nurse Practitioner
368 BIELBY RD
LAWRENCEBURG, IN 47025
Surgery
368 BIELBY RD, SUITE 100
LAWRENCEBURG, IN 47025
Urology
368 BIELBY RD
LAWRENCEBURG, IN 47025

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 Mark Mcandrew's NPI number?

The NPI number for Mark Mcandrew is 1740281674. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Mark Mcandrew located?

Mark Mcandrew practices at 368 Bielby Rd Suite 100, Lawrenceburg, IN 47025. The listed phone number is (812) 537-5772.

What is Mark Mcandrew's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Mcandrew enrolled in Medicare?

Yes. Mark Mcandrew 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 Mark Mcandrew accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Mark Mcandrew 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 Mark Mcandrew affiliated with any hospitals?

According to CMS data, Mark Mcandrew is affiliated with St Elizabeth Dearborn Hospital and St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Mark Mcandrew was last updated on November 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.