Active NPI
Christopher James Anderson, DPM
- Foot Surgery Podiatrist
- O'Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 016.005443
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 168 |
| Removal of skin lesions | 51 |
| Removal of nail tissue | 1136 |
| Removal or shaving of skin growth | 520 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005443 | IL | MD | Foot Surgery Podiatrist |
| 2010030718 | MO | MD | Foot Surgery Podiatrist |
| 00760 | IA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C James Anderson DPM LLC | Foot Surgery | Current | Accepting new patients |
| C James Anderson DPM LLC | Foot Surgery | Current | Accepting new patients |
| C James Anderson DPM LLC | Current | 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
- https://api.platform.athenahealth.com/2451/brand/1/csg/1/fhir/r4
- 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.
-
- Podiatrist
- Belleville, IL
- NPI 1053433854
-
- Foot Surgery Podiatrist
- Lewisburg, PA
- NPI 1861487381
-
- Foot & Ankle Surgery Podiatrist
- Lewisburg, PA
- NPI 1750478285
-
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
- NPI 1760143986
Foot Surgery
-
dba Foot Healers
- Podiatrist
- Saint Louis, MO
- NPI 1003152273
Foot Surgery
-
dba Foot Healers
- Podiatrist
- Chesterfield, MO
- NPI 1053326892
Foot Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.