Active NPI 1841304888 Individual Practitioner Male Practitioner

Dr. Jon E Andersen , DO

Surgery • Jerseyville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Andersen, DO is a certified Surgery practicing in Jerseyville, IL. With approximately 43 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1983, Dr. Andersen delivers high-quality medical care to the local community at 390 MAPLE SUMMIT RD.

Dr. Andersen is affiliated with Jersey Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, punch biopsy, first skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

390 Maple Summit Rd

Jerseyville, IL 620522000

Telephone 6184982101

Fax 6184982787

Associated Practice Facility / Clinic

🏢 Jersey Community Hospital Facility NPI 1811392970

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jerseyville, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +5.0 yrs vs City Avg

City Avg: 38.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Jerseyville, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Andersen (43 Years) 43 Yrs

Jerseyville Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	79	$103.13	$35.11
11042 Removal of skin and tissue, 20.0 sq cm or less	49	16	$137.43	$60.76
11104 Punch biopsy, first skin growth	14	14	$146.14	$41.68
17110 Destruction of up to 14 skin growths	12	11	$181.82	$60.55
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$141.00	$47.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	177	68	$79.28	$35.83
11042 Removal of skin and tissue, 20.0 sq cm or less	50	15	$78.00	$56.21
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$165.00	$66.30
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$171.00	$48.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$274.17	$84.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	76	$79.75	$37.69
11042 Removal of skin and tissue, 20.0 sq cm or less	107	23	$81.31	$60.74
99213 Established patient office or other outpatient visit, typically 15 minutes	54	21	$166.85	$68.78
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$172.52	$50.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$268.00	$100.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	46	$81.45	$37.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	27	$82.06	$56.74
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$175.17	$51.66
47562 Removal of gallbladder using an endoscope	13	13	$2582.23	$706.30
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$174.85	$71.79
45380 Biopsy of large bowel using an endoscope	12	12	$842.00	$179.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	39	$78.79	$27.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	31	$85.04	$45.65
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$178.14	$52.96
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$165.00	$54.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	52	$80.02	$26.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	27	$64.57	$43.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$273.45	$78.91
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$175.35	$52.07
47562 Removal of gallbladder using an endoscope	19	19	$2381.00	$731.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$183.33	$109.43
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$101.36	$74.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	232	68	$58.00	$42.77
11042 Removal of skin and tissue, 20.0 sq cm or less	146	27	$298.00	$114.73
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$95.00	$72.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$166.00	$109.04
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$118.00	$74.94
47562 Removal of gallbladder using an endoscope	22	22	$2381.00	$728.85
17000 Destruction of skin growth	18	17	$239.00	$60.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$411.00	$140.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	260	27	$298.00	$103.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	75	$58.00	$40.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$167.11	$103.40
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$102.11	$69.31
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$118.00	$71.06
47562 Removal of gallbladder using an endoscope	22	22	$2381.00	$680.54
17000 Destruction of skin growth	14	12	$239.00	$61.30
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$881.00	$234.36

Medical Specialties & State Licenses

CMS Verified: 2024-11-13

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036102731

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036102731 (IL)

Commercial Insurance / Payer ID Caqh Id

11807598 (IL)

Commercial Insurance / Payer ID Medicare

784310 (IL)

Commercial Insurance / Payer ID Healthlink

431532 (IL)

Commercial Insurance / Payer ID Health Alliance

067210 (IL)

Hospital & Practice Group Affiliations

Jersey Community Hospital

400 Maple Summit Rd, Jerseyville, IL 620522028

Phone: 6184986402

Secondary Practice Locations

400 Maple Summit Rd

Jerseyville, IL 620522028

Phone: 6184988362

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Victoria Hargrave , FNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023259967

Family Nurse Practitioner (Board Certified)

Deborah Seymour , APN-BC

Nurse Practitioner

NPI 1053345488

APNBC

Abby Medford , PA-C

Physician Assistant

NPI 1114759255

Physician Assistant (Certified)

Alexandra Evans , FNP-BC

Nurse Practitioner - Family

NPI 1134719537

Family Nurse Practitioner (Board Certified)

Dr. Timothy Lyons , MD

Family Medicine

NPI 1164636825

Doctor of Medicine (M.D.)

Colleen Canavan , PA

Physician Assistant

NPI 1205090644

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location November 07, 2024

Registered at 390 MAPLE SUMMIT RD, JERSEYVILLE, IL 620522000 (Tel: 6184982101)

✅

NPI Profile Active January 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2016

Registered at 400 MAPLE SUMMIT RD, JERSEYVILLE, IL 620522028 (Tel: 6184988362)

📍

Updated Business Mailing Address January 06, 2016

Registered at 390 MAPLE SUMMIT RD, JERSEYVILLE, IL 620522000 (Tel: 6184987518)

👤

Provider Name / Credentials Updated January 06, 2016

Recorded as JON ANDERSEN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2016

Surgery (License #036102731 in IL)

🟢

Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841304888

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 18, 2006

Last Update: November 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

390 Maple Summit Rd

Jerseyville, IL 620522000

Phone: 6184987518

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.