Individual provider Active NPI

Cameron Anderson

  • Specialist
  • Iron Mountain, MI
National Provider Identifier
1700346756
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301509771 Issued in MI
Practice address
1301 Carpenter Ave
Iron Mountain, MI 49801-4725
Phone
(800) 428-8149
NPI assigned
Mar 24, 2019
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301509771 MI Primary
Ophthalmology Physician 207W00000X 4301509771 MI

Addresses

Primary practice location

1301 Carpenter Ave
Iron Mountain, MI 49801-4725

Mailing address

1301 Carpenter Ave
Iron Mountain, MI 49801-4725
Phone (800) 428-8149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20230622003098 MI Practitioner - Ophthalmology 8426487273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Michael Garrett MD PCGroup PAC ID 3779506514, 2 clinicians

Practice addresses (Care Compare)

1301 Carpenter Ave
Iron Mountain, MI 49801-4725
Phone (906) 774-1404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
97.55
Improvement activities
40
Cost
77.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301509771MIMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: canderson573788@direct.hfhs.org

Organizations & group practices 1

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 1

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1700346756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014725",
            "telephone_number": "800-428-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014725",
            "telephone_number": "800-428-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301509771",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301509771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.