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

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: August 02, 2026.

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

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

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.

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 4

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

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · 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
Quality75.11
Promoting Interoperability100
Improvement Activities40
Cost86.5

Other Providers at the Same Location NPPES 20

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)
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
DR. DAVID ANTHONY CRAWFORD M.D.
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
SARAH LAUB PA-C
Physician Assistant
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
NICHOLAS WALLA MD
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
MAGGIE BURNS DPT
Physical Therapist
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
DR. ZACKARY OSTIN BYRD MD
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
ALEXANDER G. ATHEY MD
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
KURT A BERLEKAMP PA-C
Physician Assistant
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331

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 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.

Where is Justin Anderson located?

Justin Anderson practices at 7277 Smiths Mill Rd Ste 200, New Albany, OH 43054. The listed phone number is (614) 221-6331.

What is Justin Anderson's specialty?

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

Is Justin Anderson enrolled in Medicare?

Yes. Justin 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 Justin Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Justin 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 Justin Anderson affiliated with any hospitals?

According to CMS data, Justin Anderson is affiliated with Mount Carmel New Albany Surgical Hospital, Providence St Peter Hospital, Capital Medical Center and Mason General Hospital & Family Of Clinics.

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 13 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.