JOHN C. ANDERSON MD
NPI 1790706430
Orthopaedic Surgery in Portland, OR

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
90.37/100
CMS Quality Rating
10101 SE MAIN ST, SUITE 3008, PORTLAND, OR 97216(503) 489-1122(503) 489-1123 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2020, Mar 20, 2017, Feb 22, 2016 (3 updates tracked since 2016).

About John C. Anderson Md NPPES

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

JOHN C. ANDERSON MD (NPI 1790706430) is an individual orthopaedic surgery provider in Portland, Oregon, licensed in South Dakota (10506) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Loma Linda University School Of Medicine (2000).

NPPES Registry Identity

NPI1790706430
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN C. ANDERSONCredential: MD
Location Address10101 SE MAIN ST, SUITE 3008Portland, OR 97216-2455
Mailing Address5006 University Drive, #3Collegedale, TN 37315-5001 · (503) 489-1122 · Fax (503) 489-1123
Fax(503) 489-1123
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2000
Enumeration DateJuly 21, 2006
Last NPPES UpdateSeptember 24, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
NPI 1790706430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in SD · 10506 Licensed in CA · C143100 Licensed in TX · S0422 Licensed in PA · MD450150 Licensed in OR · MD26880
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License MD26880 (OR)
10101 SE MAIN ST, Portland, OR 97216

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

John C. 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 ID1254320591
PECOS Enrollment IDI20201030001269, I20210111001273
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 4

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.

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.
62 services61 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.
33 services29 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
19 services19 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

90.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.72
Improvement Activities40

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.

Ophthalmology
10101 SE MAIN ST, SUITE 3001
PORTLAND, OR 97216
Nurse Practitioner (Adult Health)
10101 SE MAIN ST, SUITE 1001
PORTLAND, OR 97216
Otolaryngology (Sleep Medicine)
10101 SE MAIN ST, # 2004
PORTLAND, OR 97216
Specialist
10101 SE MAIN ST, SUITE 3008
PORTLAND, OR 97216
Internal Medicine (Hematology)
10101 SE MAIN ST, SUITE 1012
PORTLAND, OR 97216
Family Medicine
10101 SE MAIN ST, STE 1004
PORTLAND, OR 97216
Dietitian, Registered (Nutrition, Metabolic)
10101 SE MAIN ST
PORTLAND, OR 97216
Specialist
10101 SE MAIN ST, SUITE 3008
PORTLAND, OR 97216

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 John Anderson's NPI number?

The NPI number for John Anderson is 1790706430. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is John Anderson located?

John Anderson practices at 10101 SE Main St Suite 3008, Portland, OR 97216. The listed phone number is (503) 489-1122.

What is John Anderson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Anderson enrolled in Medicare?

Yes. John 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 John Anderson accept?

Health plans from Avera Health Plans and Oscar Insurance Company list John 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 John Anderson affiliated with any hospitals?

According to CMS data, John Anderson is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for John Anderson was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.