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DR. JAMES D ANDERSON MD
NPI 1801892377
Internal Medicine - Rheumatology in Overland Park, KS

Active since June 21, 2005PECOS Enrolled
83.21/100
CMS Quality Rating
8401 W 125TH ST, OVERLAND PARK, KS 66213(913) 338-3222(913) 338-3227 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2022, Aug 15, 2022 (2 updates tracked since 2022).

About Dr. James D Anderson Md NPPES

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

DR. JAMES D ANDERSON MD (NPI 1801892377) is an individual rheumatology provider in Overland Park, Kansas, licensed in Kansas (0420419) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801892377
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JAMES D ANDERSONCredential: MD
Location Address8401 W 125TH STOverland Park, KS 66213-1449
Mailing Address8401 W 125th StOverland Park, KS 66213-1449 · (913) 338-3222 · Fax (913) 338-3227
Phone(913) 338-3222
Fax(913) 338-3227
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1801892377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in KS · 0420419
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
8401 W 125TH ST, Overland Park, KS 66213
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James D Anderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show James Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital District No. 1 Of Dickinson County, Kansas
123 mi
Rural Health
6 N BROADWAY
Herington, KS 67449
  • Reassigned Medicare billing, Kansas enrollment
  • 31 clinicians in this Medicare group
NPI 1376325373 (785) 263-4131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66213 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

83.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost55.5

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier13 claims13 services$182.00 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 3

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

NANCY Y OLSON MD
Pediatrics (Pediatric Rheumatology)
8401 W 125TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 338-3222
ARUNA BARATHAM M.D.
Internal Medicine (Rheumatology)
8401 W 125TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 338-3222
ARCKC LLC
Internal Medicine (Rheumatology)
8401 W 125TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 338-3222

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 James Anderson's NPI number?

The NPI number for James Anderson is 1801892377. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is James Anderson located?

James Anderson practices at 8401 W 125th St, Overland Park, KS 66213. The listed phone number is (913) 338-3222.

What is James Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is James Anderson enrolled in Medicare?

Yes. James Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Anderson reassigns Medicare benefits to Hospital District No. 1 Of Dickinson County, Kansas (Herington, KS). The 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 James Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Anderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list James 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 James Anderson was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.