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MICHAELA RESTIVO ANDERSON M.D.
NPI 1861719536
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE ST BLDG STEF, PHILADELPHIA, PA 19104(215) 662-3202(215) 349-8432 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2021, Apr 20, 2018 (2 updates tracked since 2018).

About Michaela Restivo Anderson M.d. NPPES

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

MICHAELA RESTIVO ANDERSON M.D. (NPI 1861719536) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD473466) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2010).

NPPES Registry Identity

NPI1861719536
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAELA RESTIVO ANDERSONCredential: M.D.
Location Address3400 SPRUCE ST BLDG STEFPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce St Bldg StefPhiladelphia, PA 19104-4238 · (215) 662-3202 · Fax (215) 349-8432
Phone(215) 662-3202
Fax(215) 349-8432
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1861719536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in PA · MD473466✔ Licensed in NY · 268702
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD473466 (PA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD473466 (PA)
3400 SPRUCE ST BLDG STEF, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

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

Michaela Restivo Anderson M.d. 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 ID8022250513
PECOS Enrollment IDI20210525000117
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 Michaela Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn - Medical Group
Same address
Pulmonary Disease
3400 SPRUCE ST, 3 RAVDIN, SUITE F, PULMONARY & CRITICAL CARE
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 289 clinicians in this Medicare group
NPI 1003923707 (215) 662-3202

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
70 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers29 claims29 services$65.89 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$30.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michaela Anderson's NPI number?

The NPI number for Michaela Anderson is 1861719536. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Michaela Anderson located?

Michaela Anderson practices at 3400 Spruce St Bldg Stef, Philadelphia, PA 19104. The listed phone number is (215) 662-3202.

What is Michaela Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michaela Anderson enrolled in Medicare?

Yes. Michaela 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.

Which organization bills Medicare for Michaela Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Anderson reassigns Medicare benefits to University Of Penn - Medical Group (Philadelphia, PA). 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 Michaela Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michaela Anderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michaela 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 Michaela Anderson affiliated with any hospitals?

According to CMS data, Michaela Anderson is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Michaela Anderson was last updated on July 19, 2021. 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.