NPIMap

Individual provider Active NPI

Mark D Anderson, MD

  • Interventional Cardiology Physician
  • Springfield, MO
National Provider Identifier
1073557922
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
36539 Issued in MO
Practice address
3801 S National Ave
Springfield, MO 65807-5210
Phone
(417) 875-3000
NPI assigned
Jun 15, 2006
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36539 MO
Interventional Cardiology Physician 207RI0011X 36539 MO Primary

Addresses

Primary practice location

3801 S National Ave
Springfield, MO 65807-5210

Mailing address

PO Box 9007
Springfield, MO 65808-9007

Other identifiers 3

IdentifierTypeStateIssuer
107049OtherBLUE CROSS/BLUE SHIELD
203008701MedicaidMO
201523107MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050820000076 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4587694385 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Tulane University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cox-Monett Hospital IncGroup PAC ID 0345236667, shared by 10 NPIs, 69 clinicians
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

1000 E Hwy 60
Monett, MO 65708-0000
Phone (417) 235-3144

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 269-3000

1819 S National Ave
Springfield, MO 65804-2217
Phone (417) 269-5437

3525 S National Ave
Springfield, MO 65807-7310
Phone (417) 269-6000

3535 S National Ave
Springfield, MO 65807-7310
Phone (417) 269-9800

3545 S National Ave
Meyer Telehealth Ortho and Rehab
Springfield, MO 65807-7310
Phone (417) 269-5500

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

3901 S Fremont Ave
Springfield, MO 65804-6538
Phone (417) 269-1182

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.85 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
72.62

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36539MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Dec 1, 2014 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Skaggs Community Hospital Association Cardiovascular Disease CurrentSince Apr 1, 2016 Accepting new patients
Skaggs Community Hospital Association CurrentSince Feb 14, 2015 Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Skaggs Community Hospital Association CurrentSince Feb 14, 2015 Accepting new patients
Lester E Cox Medical Centers Cardiovascular Disease CurrentSince Dec 1, 2014 Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

1001 E Primrose St
Ste 200
Springfield, MO 65807
Phone (417) 875-3275

3525 S National Ave
Ste 101
Springfield, MO 65807
Phone (417) 269-9950

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Fl 5
Springfield, MO 65807

Interoperability endpoints

  • Direct secure messaging: mark.anderson@cernerdirect.coxhealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1073557922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-875-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "36539",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "36539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "107049",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203008701",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201523107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.