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

Q: 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.

Q: What is Andrew Root's specialty?

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

Q: 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 11 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 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: August 09, 2026.

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

On this page

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

Phone(319) 376-2134

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

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

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.

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.

What insurance does Andrew Root accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 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 11 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.