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JOEL R ANDERSON DPM
NPI 1952341505
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
77.66/100
CMS Quality Rating
4920 N CENTRAL AVE, SUITE 1A, CHICAGO, IL 60630(847) 358-7005(847) 358-7065 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joel R Anderson Dpm NPPES

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

JOEL R ANDERSON DPM (NPI 1952341505) is an individual foot & ankle surgery provider in Chicago, Illinois, licensed in Illinois (016.004882) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Palatine, and is a graduate of William M. Scholl College Of Podiatric Medicine (1996).

NPPES Registry Identity

NPI1952341505
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJOEL R ANDERSONCredential: DPM
Location Address4920 N CENTRAL AVE, SUITE 1AChicago, IL 60630-2338
Mailing Address4920 N Central Ave, Suite 1aChicago, IL 60630-2338 · (847) 358-7005 · Fax (847) 358-7065
Phone(847) 358-7005
Fax(847) 358-7065
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1996
Enumeration DateJune 8, 2006
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1952341505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016.004882
Also ListedPodiatristTaxonomy 213E00000X · License 016004882 (IL)
4920 N CENTRAL AVE, Chicago, IL 60630
Open in Google Maps ↗

Secondary Practice Location 1

Location 1675 N North Ct Ste 380Palatine, IL 60067-8131 · Phone (847) 358-7005 · Fax (847) 358-7065

Accepted Insurance

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

Joel R Anderson Dpm 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 ID7315832102
PECOS Enrollment IDI20040225000208
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
634 services222 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
62 services48 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
39 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
34 services20 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
30 services21 patients

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.

77.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.11
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%189 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
0%422 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
0%62 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%62 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,759 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
7%781 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,719 patients1/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
68%85 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 369 patients
Patients totalRate: 0% · 369 patients
0%369 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Dynamic adjustable toe extension/flexion device, includes soft interface material E1830
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$91.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

ANDRZEJ P INDYK M.D.
Family Medicine
4920 N CENTRAL AVE, SUITE 2B
CHICAGO, IL 60630
Cook County (773) 202-8034
JOHN G SCARAMELLA M.D.
Family Medicine
4920 N CENTRAL AVE, SUITE 2B
CHICAGO, IL 60630
Cook County (773) 202-5959
MARLENE OLASO SANTOS P.T.
Physical Therapist
4920 N CENTRAL AVE
CHICAGO, IL 60630
Cook County (773) 205-8911
R CLIFTON CROMPTON JR & JOHN M HOLICKA PTR
Optometrist
4920 N CENTRAL AVE
CHICAGO, IL 60630
Cook County (773) 777-6615
INSTITUTE FOR INTEGRATIVE HEALTH AND WELLNESS,S.C.
Clinic/Center (Health Service)
4920 N CENTRAL AVE, 1A
CHICAGO, IL 60630
Cook County (773) 427-0820
MEDICAL INTEGRATION SC
Clinic/Center (Health Service)
4920 N CENTRAL AVE, SUITE 1A
CHICAGO, IL 60630
Cook County (773) 427-0820
JOEL R. ANDERSON, PC
Podiatrist (Foot & Ankle Surgery)
4920 N CENTRAL AVE, STE 1A
CHICAGO, IL 60630
Cook County (773) 736-3338
JOHN G SCARAMELLA MD SC
Clinic/Center (Primary Care)
4920 N CENTRAL AVE, SUITE 2B
CHICAGO, IL 60630
Cook County (773) 202-5959

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 Joel Anderson's NPI number?

The NPI number for Joel Anderson is 1952341505. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Joel Anderson located?

Joel Anderson practices at 4920 N Central Ave Suite 1A, Chicago, IL 60630. The listed phone number is (847) 358-7005.

What is Joel Anderson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Joel Anderson enrolled in Medicare?

Yes. Joel 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.

What insurance does Joel Anderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Joel 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.

When was this NPI record last updated?

The NPPES record for Joel Anderson was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.