Individual provider Active NPI

Christopher James Anderson, DPM

  • Foot Surgery Podiatrist
  • O'Fallon, IL
National Provider Identifier
1790760494
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
016.005443 Issued in IL
Practice address
717 Insight Ave
Suite 100
O'Fallon, IL 62269
Phone
(618) 277-9533
Fax
(618) 277-9540
NPI assigned
Dec 14, 2005
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 2010030718 MO
Foot Surgery Podiatrist 213ES0131X 016.005443 IL Primary

Addresses

Primary practice location

717 Insight Ave
Suite 100
O'Fallon, IL 62269

Mailing address

717 Insight Ave
Suite 100
O'Fallon, IL 62269
Phone (618) 277-9533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040712000761 MO Practitioner - Podiatry 7012995475 Reassigns benefits to 1 organization
I20110210000040 IL Practitioner - Podiatry 7012995475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C James Anderson DPM LLCGroup PAC ID 2961652979, 2 clinicians

Practice addresses (Care Compare)

1000 Eleven S
Suite 3a
Columbia, IL 62236-1077
Phone (618) 277-9533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue168
Removal of skin lesions51
Removal of nail tissue1136
Removal or shaving of skin growth520
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005443ILMDFoot Surgery Podiatrist
2010030718MOMDFoot Surgery Podiatrist
00760IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
C James Anderson DPM LLC Foot Surgery CurrentSince Apr 19, 2020 Accepting new patients
C James Anderson DPM LLC Foot Surgery CurrentSince Apr 19, 2020 Accepting new patients
C James Anderson DPM LLC CurrentSince Jun 8, 2012 Accepting new patients
Foot Healers Holdings - St. Louis, LLC Foot Surgery Past Accepting new patients
Foot Healers Holdings - St. Louis, LLC Foot Surgery Past Accepting new patients
Affiliated Ankle and Foot Surgeons Past Accepting new patients
Albright Footcare Center LLC Past Accepting new patients
C James Anderson DPM LLC Foot Surgery Past Accepting new patients
Albright Footcare Center Foot Surgery Past Accepting new patients

Locations

4600 Memorial Dr
Ste 300
Belleville, IL 62226
Phone (618) 233-3066

1000 Eleven S
Ste 3A
Columbia, IL 62236
Phone (618) 277-9533

717 Insight Ave
Ste 100
O Fallon, IL 62269
Phone (618) 277-9533

11710 Old Ballas Rd
Ste 110
Saint Louis, MO 63141
Phone (314) 567-1958

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2451/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJJCA/Endpoint/HGJJCA

Organizations & group practices 9

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 2

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1790760494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 INSIGHT AVE",
            "address_2": "SUITE 100",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-277-9533",
            "fax_number": "618-277-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 INSIGHT AVE",
            "address_2": "SUITE 100",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-277-9533",
            "fax_number": "618-277-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MO",
            "license": "2010030718",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016.005443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.