ANDREW JAMES ANZELJC MD
NPI 1891061396
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Knoxville, TN

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
72.51/100
CMS Quality Rating
4528 CHAPMAN HWY, KNOXVILLE, TN 37920(865) 579-3920(865) 579-3963 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Jun 22, 2020, Oct 2, 2018 and 2 more (5 updates tracked since 2016).

About Andrew James Anzeljc Md NPPES

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

ANDREW JAMES ANZELJC MD (NPI 1891061396) is an individual ophthalmic plastic and reconstructive surgery provider in Knoxville, Tennessee, licensed in Tennessee (57004) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2012).

NPPES Registry Identity

NPI1891061396
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameANDREW JAMES ANZELJCCredential: MD
Location Address4528 CHAPMAN HWYKnoxville, TN 37920-4359
Mailing Address4528 Chapman HwyKnoxville, TN 37920-4359 · (865) 579-3920 · Fax (865) 579-3918
Fax(865) 579-3963
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2012
Enumeration DateMarch 29, 2012
Last NPPES UpdateAugust 18, 20235 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
NPI 1891061396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in TN · 57004
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 75488 (GA)
4528 CHAPMAN HWY, Knoxville, TN 37920

Accepted 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 James Anzeljc Md 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 ID5991007254
PECOS Enrollment IDI20180913001887
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.

Areas of Expertise CMS Part B claims 24

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.

Injection, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
3,758 services21 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
317 services245 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
282 services279 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.
268 services250 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
239 services239 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
86 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

72.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.71
Promoting Interoperability91
Improvement Activities40
Cost23.16

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.

Ophthalmology (Cornea and External Diseases Specialist)
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology (Glaucoma Specialist)
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Optometrist
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology
4528 CHAPMAN HWY
KNOXVILLE, TN 37920

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 Anzeljc's NPI number?

The NPI number for Andrew Anzeljc is 1891061396. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Andrew Anzeljc located?

Andrew Anzeljc practices at 4528 Chapman Hwy, Knoxville, TN 37920. The listed phone number is (865) 579-3920.

What is Andrew Anzeljc's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Andrew Anzeljc enrolled in Medicare?

Yes. Andrew Anzeljc 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 Anzeljc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Andrew Anzeljc 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 Andrew Anzeljc was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.