NPI Details
Jack Anderson, MD is an internal medicine in Appleton, WI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Jack Anderson, MD NPI is 1992737522. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2500 E CAPITOL DR
APPLETON, WI
ZIP 54911-735
Phone: (920) 731-5811
Fax: (920) 738-6293
The NPI 1992737522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
- Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Screening mammography (HCPCS:77067)
- Screening 3d breast mammography (HCPCS:77063)
- X-ray of chest, 2 views (HCPCS:71046)
- Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
- Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
- Ct scan of chest without contrast (HCPCS:71250)
- Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Ct scan of chest with contrast (HCPCS:71260)
- Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
- Limited ultrasound scan of 1 breast (HCPCS:76642)
- Mri scan of brain before and after contrast (HCPCS:70553)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- Diagnostic mammography of both breasts (HCPCS:77066)
- Diagnostic mammography of 1 breast (HCPCS:77065)
- Mri scan of brain without contrast (HCPCS:70551)
- Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
- Nuclear medicine study whole body with ct scan (HCPCS:78816)
- Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
- Mri scan of upper spinal canal without contrast (HCPCS:72141)
The enumeration date for this NPI number is 7/6/2006 and was last updated on 11/16/2011.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 26238-020 | WISCONSIN | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 711290042 | OTHER | WISCONSIN | MEDICARE PTAN |
| 2 | 30608500 | MEDICAID | WISCONSIN | |
| 3 | 450030618 | OTHER | WISCONSIN | MEDICARE PTAN |
| 4 | 110048483 | OTHER | | RR MEDICARE |
| 5 | A02296 | MEDICARE UPIN | | |
