Doctor profile · Federal record

Dr. Koby Anderson, PA-C

Physician Assistant · Physician Assistant · Oklahoma City, OK

  • NPI 1356739486
  • Accepts Medicare
  • 12 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3110 Sw 89Th St Ste 200E
Oklahoma City, OK 731597919
(405) 486-6720

Credentials & registration

NPPES · NUCC
NPI registered
December 2014 — 12 yrs on file
Profile last updated
February 13, 2020
Year of graduation
2014 — 12 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Oklahoma #2475 · Iowa #076350

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1356739486. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
141
Distinct HCPCS
7
Medicare allowed
$12,179
HCPCS Description Services Patients Avg allowed
99204 New patient office or other outpatient visit, 45-59 minutes 35 35 $132
99214 Established patient office or other outpatient visit, 30-39 minutes 28 26 $99
99213 Established patient office or other outpatient visit, 20-29 minutes 25 24 $71
72110 X-ray of lower and sacral spine, minimum of 4 views 17 17 $10
99203 New patient office or other outpatient visit, 30-44 minutes 13 13 $88
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 12 12 $134
72170 X-ray of pelvis, 1-2 views 11 11 $7

In context: peer comparison

Among 153 peers in Oklahoma City Physician Assistant, average services per provider: 162. This provider delivers 0.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$24
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Globus Medical, INC. 1 $23.72

By nature of payment

Food and Beverage
$24

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
19
Patients
15
Total drug cost
$95
Drug Type Claims Patients Total cost
Tizanidine Hcl Generic 19 15 $95

Frequently asked questions

Auto-generated from federal data
What is Dr. Koby Anderson's medical specialty?
Dr. Koby Anderson practices Physician Assistant in Oklahoma City, OK.
Where does Dr. Koby Anderson practice?
Dr. Koby Anderson practices at 3110 Sw 89Th St Ste 200E, Oklahoma City, OK 731597919. Office phone: 4054866720.
What is Dr. Koby Anderson's NPI?
Dr. Koby Anderson's National Provider Identifier (NPI) is 1356739486, issued by NPPES.
Does Dr. Koby Anderson accept Medicare assignment?
Yes. Dr. Koby Anderson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Koby Anderson commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.