ANDREW ROOT DO
NPI 1851034540
Family Medicine in Fort Madison, IA

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
5409 AVENUE O STE 101, FORT MADISON, IA 52627(319) 376-2134 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2025, Sep 23, 2024, Jun 12, 2022 and 1 more (4 updates tracked since 2022).

About Andrew Root Do NPPES

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

ANDREW ROOT DO (NPI 1851034540) is an individual family medicine provider in Fort Madison, Iowa, licensed in Iowa (DO-06618) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851034540
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW ROOTCredential: DO
Location Address5409 AVENUE O STE 101Fort Madison, IA 52627-9601
Mailing Address1221 S Gear AveWest Burlington, IA 52655-1679 · (319) 768-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 19, 2022
Last NPPES UpdateAugust 11, 20254 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1851034540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IA · DO-06618✔ Licensed in IA · R-12620
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5409 AVENUE O STE 101, Fort Madison, IA 52627

Secondary Practice Locations 2

Location 11111 6th AveDes Moines, IA 50314-2613 · Phone (515) 643-2682 · Fax (515) 643-5802
Location 25900 E University Ave Ste 100Pleasant Hill, IA 50327-8467 · Phone (515) 643-2400 · Fax (515) 643-4766

Accepted 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

Andrew Root 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 ID3274912704
PECOS Enrollment IDI20240801002795
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

12

Medicare enrollment records show Andrew Root reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1221 S GEAR AVE
West Burlington, IA 52655
  • Reassigned Medicare billing, Iowa enrollment
  • 253 clinicians in this Medicare group
Critical Access
407 S WHITE ST
Mount Pleasant, IA 52641
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1871177477 (Iowa)
  • 142 clinicians in this Medicare group
Critical Access
509 N MADISON ST
Bloomfield, IA 52537
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1487740486 (Iowa)
  • 50 clinicians in this Medicare group
Rural Health
498 N HIGHLAND ST.
Williamsburg, IA 52361
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1053368191 (Iowa)
  • 75 clinicians in this Medicare group
Clinic/Center
2400 LILLIAN WAY
Clinton, IA 52732
  • Reassigned Medicare billing, Iowa enrollment
  • 34 clinicians in this Medicare group
Family Medicine
1202 W HOWARD ST
Knoxville, IA 50138
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1922087915 (Iowa)
  • 156 clinicians in this Medicare group
Emergency Medicine
204 N 4TH AVE E
Newton, IA 50208
  • Reassigned Medicare billing, Iowa enrollment
  • 110 clinicians in this Medicare group
Primary Care
19 E HOWARD ST
Colfax, IA 50054
  • Reassigned Medicare billing, Iowa enrollment
  • 516 clinicians in this Medicare group
Emergency Medicine
800 S FILLMORE ST
Osceola, IA 50213
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1114954997 (Iowa)
  • 64 clinicians in this Medicare group
Family Medicine
532 1ST ST NW
Britt, IA 50423
  • Reassigned Medicare billing, Iowa enrollment
  • 50 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Compass Memorial Healthcare

Critical Access Hospitals · Marengo, IA
OwnershipGovernment - Local
CMS Certification Number161317
Location300 W May StMarengo, IA 52301 · Iowa County
Emergency services

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52627 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 Andrew Root's NPI number?

The NPI number for Andrew Root is 1851034540. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Andrew Root located?

Andrew Root practices at 5409 Avenue O Ste 101, Fort Madison, IA 52627. The listed phone number is (319) 376-2134.

What is Andrew Root's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Root enrolled in Medicare?

Yes. Andrew Root 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 Andrew Root's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Root reassigns Medicare benefits to 12 organizations: Southeast Iowa Regional Medical Center, Inc. (West Burlington, IA), Henry County Health Center, Inc. (Mount Pleasant, IA), Davis County Hospital (Bloomfield, IA), Marengo Memorial Hospital (Williamsburg, IA), Mercyone Urgentcare (Clinton, IA) and 7 more organizations, listed in the Medicare section above. 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 Andrew Root's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Root accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Andrew Root 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 Andrew Root affiliated with any hospitals?

According to CMS data, Andrew Root is affiliated with Southeast Iowa Regional Medical Center, Compass Memorial Healthcare and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Andrew Root was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.