Doctor profile · Federal record
Dr. JACK ANDERSON, MD
Emergency Medicine Physician (CMS: EMERGENCY MEDICINE) · Emergency Medicine Physician · Pain Medicine Physician · SCOTTSDALE, AZ
- NPI 1659338887
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 15 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9787 N 91ST ST STE 101
SCOTTSDALE, AZ 852585088
(480) 563-6400
fax (480) 563-8009
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- November 21, 2024
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (3)
- Texas #R5501 · Oklahoma #24265 · Arizona #45727
- Medicaid
- OK #200055660A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659338887. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
530
Distinct HCPCS
4
Medicare allowed
$64,305
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 186 | 180 | $171 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 167 | 145 | $8 | |
99291 |
Critical care, first 30-74 minutes | 115 | 112 | $208 | |
99284 |
Emergency department visit with moderate level of medical decision making | 62 | 61 | $118 |
In context: peer comparison
Among 33 peers in this city , average services per provider: 110. This provider delivers 4.8× the peer median.Open Payments
Industry payments received
All-time total
$100
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Vapotherm Inc | 1 | $99.78 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
218
Patients
216
Total drug cost
$1,226
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 50 | 49 | $263 |
| Cephalexin | Generic | 42 | 42 | $339 |
| Ondansetron Odt (Ondansetron) | Brand | 36 | 36 | $207 |
| Prednisone | Generic | 32 | 32 | $66 |
| Pantoprazole Sodium | Generic | 18 | 18 | $48 |
| Tizanidine Hcl | Generic | 15 | 15 | $52 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 14 | 13 | $215 |
| Promethazine Hcl | Generic | 11 | 11 | $36 |