Active NPI 1497728323 Individual Practitioner Male Practitioner

Dr. Mickey Dale Anderson , MD

Surgery • Bardstown, KY

Professional Overview & Biography Verified Profile Summary

Dr. Mickey Anderson, MD is a registered healthcare professional specializing in Surgery in Bardstown, KY. Practice services are available at 118 PATRIOT DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, diagnostic exam of large bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

118 Patriot Dr
Suite 203

Bardstown, KY 400049093

Telephone 5023485588

Fax 5023481046

Associated Practice Facility / Clinic

🏢 Medical Center Cardiologists, Psc Facility NPI 1639388861

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bardstown, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.7 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Bardstown, KY (495 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes	108	81	$173.00	$78.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	50	49	$710.64	$73.07
45378 Diagnostic exam of large bowel using a flexible endoscope	48	47	$649.00	$157.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$212.00	$98.60
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$137.00	$63.53
45380 Biopsy of large bowel using an endoscope	32	32	$822.63	$127.68
38222 Biopsy and aspiration of bone marrow sample for diagnosis	25	23	$329.00	$66.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$872.00	$222.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$246.00	$113.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$106.00	$49.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$319.00	$148.05
43249 Balloon dilation of esophagus using an endoscope	12	12	$900.00	$124.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	108	$173.00	$83.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$212.00	$103.04
45378 Diagnostic exam of large bowel using a flexible endoscope	58	56	$670.41	$164.81
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	58	58	$696.59	$69.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	16	$246.00	$114.47
45380 Biopsy of large bowel using an endoscope	23	23	$834.00	$149.20
43249 Balloon dilation of esophagus using an endoscope	19	14	$979.63	$142.92
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$872.00	$215.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$363.00	$171.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$319.00	$155.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$106.00	$51.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	156	$173.00	$84.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$212.00	$104.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	65	63	$715.88	$75.47
45380 Biopsy of large bowel using an endoscope	48	48	$834.00	$117.07
45378 Diagnostic exam of large bowel using a flexible endoscope	39	38	$652.54	$171.61
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	33	$872.00	$220.69
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$363.00	$170.73
43249 Balloon dilation of esophagus using an endoscope	20	18	$1031.30	$108.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$106.00	$52.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$319.00	$157.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	149	$170.72	$85.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$211.47	$104.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	66	$485.54	$77.47
45380 Biopsy of large bowel using an endoscope	37	37	$729.68	$142.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	34	$652.59	$219.68
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$516.97	$169.69
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$473.80	$178.04
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$362.29	$178.33
43249 Balloon dilation of esophagus using an endoscope	14	12	$932.29	$120.99
38222 Biopsy and aspiration of bone marrow sample for diagnosis	12	12	$211.67	$71.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	196	161	$141.00	$69.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$203.00	$101.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	78	78	$290.44	$74.53
45380 Biopsy of large bowel using an endoscope	39	39	$621.92	$137.37
45378 Diagnostic exam of large bowel using a flexible endoscope	35	35	$357.80	$180.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$499.00	$242.80
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	30	$363.00	$180.89
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$530.35	$184.38
43249 Balloon dilation of esophagus using an endoscope	20	18	$300.00	$136.08
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$658.00	$313.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	217	$136.00	$68.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$201.00	$99.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	101	101	$286.00	$74.55
45380 Biopsy of large bowel using an endoscope	55	55	$498.00	$157.72
45378 Diagnostic exam of large bowel using a flexible endoscope	52	52	$394.23	$165.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	48	$80.00	$41.96
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	45	45	$410.42	$168.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	41	41	$592.00	$244.58
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	40	40	$417.00	$180.68
43249 Balloon dilation of esophagus using an endoscope	27	26	$318.00	$122.48
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$692.00	$319.76
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$37.00	$18.10

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	265	214	$80.00	$40.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$201.00	$101.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	96	96	$286.00	$87.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	51	51	$417.00	$174.44
45380 Biopsy of large bowel using an endoscope	47	47	$498.00	$155.30
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$592.00	$237.60
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$401.82	$163.78
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$417.00	$180.91
43249 Balloon dilation of esophagus using an endoscope	18	16	$318.00	$135.78
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$138.00	$66.91
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1358.00	$634.41
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$37.00	$18.08
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$692.00	$327.72
45381 Injection beneath lining of large bowel using a flexible endoscope	11	11	$472.00	$32.48
38222 Biopsy and aspiration of bone marrow sample for diagnosis	11	11	$151.00	$72.40

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	287	236	$80.00	$40.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$201.00	$99.99
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	122	122	$286.00	$90.57
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	70	70	$421.31	$178.11
45380 Biopsy of large bowel using an endoscope	48	48	$498.00	$171.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	40	$264.00	$130.89
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$417.00	$171.07
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$592.00	$249.93
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$136.00	$67.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$417.00	$180.11
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$692.00	$320.53
43249 Balloon dilation of esophagus using an endoscope	15	14	$318.00	$122.78
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1358.00	$683.06

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 20844

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

64208440 (KY)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Charles Parrish , MD

Emergency Medicine

NPI 1033167440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address May 06, 2019

Registered at PO BOX 936, LONDON, KY 407430936 (Tel: 6063307840)

✅

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address May 10, 2017

Registered at 100 E LIBERTY ST, SUITE 203, LOUISVILLE, KY 402021434 (Tel: 5023485588)

📍

Updated Practice Location May 10, 2017

Registered at 118 PATRIOT DR, SUITE 203, BARDSTOWN, KY 400049093 (Tel: 5023485588)

👤

Provider Name / Credentials Updated May 10, 2017

Recorded as MICKEY ANDERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Surgery (License #20844 in KY)

✅

NPI Profile Active March 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2013

Registered at 118 PATRIOT DR, SUITE 203, BARDSTOWN, KY 400049093 (Tel: 5023485588)

📍

Updated Business Mailing Address March 06, 2013

Registered at 118 PATRIOT DR, SUITE 203, BARDSTOWN, KY 400049093 (Tel: 5023485588)

👤

Provider Name / Credentials Updated March 06, 2013

Recorded as MICKEY ANDERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2013

Surgery (License #20844 in KY)

🟢

Initial NPI Registration & Enumeration February 10, 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: 1497728323

Entity Type:

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

Enumeration Date: February 10, 2006

Last Update: May 06, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 936

London, KY 407430936

Phone: 6063307840

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.