Justin Eric Anderson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M9125 Issued in TX

Practice address

4315 28TH St
Lubbock, TX 79410-2507

Phone

(806) 792-2104

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Justin Eric Anderson Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Texas Tech University Health Science Center School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patrick D Reeves MdpaGroup PAC ID 3971675711, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.98 of 100Reported as group

Quality

100

Improvement activities

40

Cost

86.62

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janderson@wilsonsurg.intellechartdirect.net

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

• Patrick D Reeves Mdpa

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1538341276
  Medicare reassignment Care Compare group NPD
• Wilson Anesthesia Lubbock PA

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
  • NPI 1144910498
  NPD Authorized official
• Patrick D Reeves Mdpa

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
  • NPI 1093895757
  NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1508916370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 28TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102507",
            "telephone_number": "806-792-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 28TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102507",
            "telephone_number": "806-792-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JUSTIN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M9125",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "237829-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8H3782",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "ANDERSON",
            "middle_name": "ERIC",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janet Susan Andersen, RN, MSN, CFNP
• Jessamy Anderson-Hill, APRN
• Abigail Anderson
• Cheryl Lynn Anderson, LPC
• Ephraim Joseph Anderson
• Kyle Preston Anderson, M.D.
• Kyle S. Anderson, DO
• Luke Kirby Anderson
• Rocky Anderson, HIS
• Sheila Suzanne Anderson, MA, LPC

• Ophthalmology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.