MR. JON E ANDERSEN DO
NPI 1841304888
Surgery in Jerseyville, IL

Q: What is Jon Andersen's NPI number?

The NPI number for Jon Andersen is 1841304888. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Jon Andersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Andersen was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment

390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052(618) 498-2101(618) 498-2787 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2024, Nov 7, 2024, Jan 2, 2020 (3 updates tracked since 2020).

On this page

About Mr. Jon E Andersen Do NPPES

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

MR. JON E ANDERSEN DO (NPI 1841304888) is an individual surgery provider in Jerseyville, Illinois, licensed in Illinois (036102731) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey Community Hospital, and maintains a secondary practice location in Jerseyville.

NPPES Registry Identity

NPI1841304888

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMR. JON E ANDERSENCredential: DO

Location Address390 MAPLE SUMMIT RDJerseyville, IL 62052-2000

Mailing Address390 Maple Summit RdJerseyville, IL 62052-2000 · (618) 498-7518 · Fax (618) 498-3052

Phone(618) 498-2101

Fax(618) 498-2787

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1983

Enumeration DateAugust 18, 2006

Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1841304888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 036102731

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.

390 MAPLE SUMMIT RD, Jerseyville, IL 62052

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Secondary Practice Location 1

Location 1400 Maple Summit RdJerseyville, IL 62052-2028 · Phone (618) 498-8362 · Fax (618) 498-8391

Other Identifiers 5

Medicaid036102731IL

Other11807598IL · Caqh Id

Other784310IL · Medicare

Other431532IL · Healthlink

Other067210IL · Health Alliance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.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

Mr. Jon E Andersen Do 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 ID6608760756

PECOS Enrollment IDI20080213000164

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 Jon Andersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jersey Community Hospital District

Same address

Family Medicine

400 MAPLE SUMMIT RD
Jerseyville, IL 62052

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Jersey Community Hospital
61 clinicians in this Medicare group

NPI 1134163827 (618) 498-6402

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 5

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 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.

139 services79 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

49 services16 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

14 services14 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

12 services11 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140059

Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62052 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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.

Other Providers at the Same Location NPPES 14

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

MS. VICTORIA A HARGRAVE FNP-BC

Nurse Practitioner (Psychiatric/Mental Health)