NPIMap

C James Anderson DPM LLC

A Medicare group practice based in O Fallon, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2961652979), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2961652979The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
IL, MO
Enrollments
5
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20121029000752 IL Part B Supplier - Clinic/Group Practice 1659631398
O20201125000884 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1659631398
O20220302001388 MO Part B Supplier - Clinic/Group Practice 1659631398
O20200526001036 IL DME Supplier - Physician - Podiatry 1386263895
O20200427001039 IL DME Supplier - Physician - Podiatry 1033738547

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 3 clinicians in this group

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page