DR. JUSTIN COLIN ANDERSON MD
NPI 1972963676
Orthopaedic Surgery in New Albany, OH

Q: What is Justin Anderson's NPI number?

The NPI number for Justin Anderson is 1972963676. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Q: What is Justin Anderson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Anderson was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 February 24, 2016PECOS EnrolledAccepts Medicare Assignment

88.48/100

CMS Quality Rating

7277 SMITHS MILL RD STE 200, NEW ALBANY, OH 43054(614) 221-6331(614) 221-9042 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Aug 8, 2023, Jul 13, 2021 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Justin Colin Anderson Md NPPES

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

DR. JUSTIN COLIN ANDERSON MD (NPI 1972963676) is an individual orthopaedic surgery provider in New Albany, Ohio, licensed in Ohio (35.154123) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel New Albany Surgical Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972963676

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JUSTIN COLIN ANDERSONCredential: MD

Location Address7277 SMITHS MILL RD STE 200New Albany, OH 43054-8195

Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961 · (513) 354-7785 · Fax (513) 354-7651

Phone(614) 221-6331

Fax(614) 221-9042

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2016

Enumeration DateFebruary 24, 2016

Last NPPES UpdateJuly 1, 20255 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1972963676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in OH · 35.154123✔ Licensed in WA · 61281791

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

7277 SMITHS MILL RD STE 200, New Albany, OH 43054

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1615 Lilly Rd NE Ste 100Olympia, WA 98506-5117 · Phone (360) 491-4211 · Fax (360) 493-0407

Location 245280 National RdSaint Clairsville, OH 43950-8787 · Phone (740) 247-7955 · Fax (614) 304-2111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare and more.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

Dr. Justin Colin Anderson 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 ID6800175035

PECOS Enrollment IDI20230818000559, I20250711001526

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

Medicare enrollment records show Justin Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Orthopaedics & Sports Medicine, Ltd

101 mi

Specialist

500 E BUSINESS WAY
Cincinnati, OH 45241

Reassigned Medicare billing, Ohio enrollment
423 clinicians in this Medicare group

NPI 1386670065 (513) 354-3700

Public Hospital District No 1 Of Mason County

2,048 mi

Podiatric

2964B LIMITED LN NW
Olympia, WA 98502

Reassigned Medicare billing, Washington enrollment
154 clinicians in this Medicare group

NPI 1740642024 (360) 943-1400

Olympia Orthopaedic Associates PLLC

2,048 mi

Ambulatory Surgical

3901 CAPITAL MALL DR SW STE B
Olympia, WA 98502

Reassigned Medicare billing, Washington enrollment
68 clinicians in this Medicare group

NPI 1083785398 (360) 491-8439

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 10

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

57 services12 patients

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.

44 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

44 services43 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.

25 services21 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

24 services12 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

20 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH

OwnershipProprietary

CMS Certification Number360266

Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501336

Location901 Mt View DriveShelton, WA 98584 · Mason County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

88.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.11

Promoting Interoperability

100

Improvement Activities

Cost

86.5

Other Providers at the Same Location NPPES 19

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

KEITH R BEREND MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)