Active NPI 1306867833 Individual Practitioner Male Practitioner

Dr. Stephen C Anderson , MD

Pediatrics • Belchertown, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Anderson, MD is a certified Pediatrics practicing in Belchertown, MA. With approximately 30 years of clinical experience since graduating from University Of Massachusetts Medical School in 1996, Dr. Anderson delivers high-quality medical care to the local community at 95 SARGENT ST.

Dr. Anderson is affiliated with Swift River Medical Associates Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

95 Sargent St
Route 9

Belchertown, MA 010079881

Telephone 4133237212

Fax 4139672524

Associated Practice Facility / Clinic

🏢 Baystate Medical Practices, Inc Facility NPI 1548205909

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Belchertown, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Belchertown, MA (2760 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

44.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (30 Years) 30 Yrs

Belchertown Specialty Average (30.0 Years) 30.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	754	462	$310.44	$132.62
99213 Established patient office or other outpatient visit, typically 15 minutes	524	301	$215.81	$94.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	338	338	$285.00	$135.97
G0444 Annual depression screening, 5 to 15 minutes	78	78	$30.00	$19.98
93000 Routine ekg using at least 12 leads including interpretation and report	64	62	$55.00	$14.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	47	$135.00	$55.91
81003 Automated urinalysis test	54	41	$11.00	$2.20
G0442 Annual alcohol misuse screening, 5 to 15 minutes	42	42	$30.00	$19.87
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$255.00	$173.01
69210 Removal of impacted ear wax	26	25	$137.00	$49.49
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	25	25	$371.44	$289.87
G0009 Administration of pneumococcal vaccine	22	22	$35.00	$32.81
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$225.00	$173.17
99495 Transitional care management services for problem of at least moderate complexity	17	15	$425.00	$215.68
99496 Transitional care management services for problem of high complexity	15	15	$500.00	$292.17
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$30.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$420.00	$171.73
90662 Influenza vaccine split virus, preservative free	12	12	$75.00	$72.19
G0008 Administration of influenza virus vaccine	11	11	$35.00	$32.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	741	465	$296.10	$129.96
99213 Established patient office or other outpatient visit, typically 15 minutes	595	356	$196.64	$92.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	363	363	$223.42	$131.49
G0008 Administration of influenza virus vaccine	143	143	$35.00	$31.25
90662 Influenza vaccine split virus, preservative free	140	140	$74.40	$71.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes	118	118	$30.00	$19.06
G0444 Annual depression screening, 5 to 15 minutes	114	114	$30.00	$19.06
93000 Routine ekg using at least 12 leads including interpretation and report	70	66	$55.00	$14.87
81003 Automated urinalysis test	50	40	$11.00	$2.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	40	$135.00	$53.71
69210 Removal of impacted ear wax	34	30	$137.00	$48.20
G0009 Administration of pneumococcal vaccine	29	29	$35.00	$31.47
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$225.00	$168.54
99496 Transitional care management services for problem of high complexity	22	21	$470.45	$283.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$218.33	$168.19
17000 Destruction of skin growth	16	16	$190.00	$65.79
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$137.00	$130.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$420.00	$170.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	537	323	$290.00	$133.57
99213 Established patient office or other outpatient visit, typically 15 minutes	454	273	$190.00	$91.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	274	274	$200.00	$136.98
G0008 Administration of influenza virus vaccine	152	149	$35.00	$30.82
90662 Influenza vaccine split virus, preservative free	148	146	$65.54	$63.14
81003 Automated urinalysis test	50	41	$11.00	$2.21
G0009 Administration of pneumococcal vaccine	41	41	$35.00	$31.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	33	$135.00	$55.68
93000 Routine ekg using at least 12 leads including interpretation and report	37	37	$55.00	$14.99
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	30	30	$225.00	$175.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$136.93	$127.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$200.00	$174.84
17000 Destruction of skin growth	22	19	$190.00	$69.92
69210 Removal of impacted ear wax	19	16	$137.00	$48.48
90670 Pneumococcal vaccine for injection into muscle	18	18	$252.00	$245.97
99496 Transitional care management services for problem of high complexity	15	15	$450.00	$292.53
99441 Telephone medical discussion with physician, 5-10 minutes	14	14	$80.00	$58.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	316	$290.00	$135.31
99213 Established patient office or other outpatient visit, typically 15 minutes	381	232	$190.00	$94.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	257	257	$200.00	$138.45
G0008 Administration of influenza virus vaccine	173	173	$35.00	$17.86
90662 Influenza vaccine split virus, preservative free	173	173	$55.76	$55.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	14	$11.80	$1.29
G0009 Administration of pneumococcal vaccine	33	33	$35.00	$17.84
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$55.00	$15.56
81003 Automated urinalysis test	31	27	$11.00	$2.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	25	$135.00	$55.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	30	30	$225.00	$175.60
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$126.75	$123.07
90670 Pneumococcal vaccine for injection into muscle	20	20	$244.40	$241.38
69210 Removal of impacted ear wax	17	17	$137.00	$50.03
99496 Transitional care management services for problem of high complexity	16	15	$450.00	$292.38
20610 Aspiration and/or injection of fluid from large joint	15	13	$200.00	$66.51
17000 Destruction of skin growth	13	13	$190.00	$70.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	504	304	$290.00	$114.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	224	224	$200.00	$123.74
G0008 Administration of influenza virus vaccine	216	214	$35.00	$17.76
99213 Established patient office or other outpatient visit, typically 15 minutes	212	154	$190.00	$79.36
90662 Influenza vaccine split virus, preservative free	204	202	$55.76	$55.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	17	$11.80	$1.45
81003 Automated urinalysis test	54	45	$11.00	$2.23
93000 Routine ekg using at least 12 leads including interpretation and report	45	43	$55.00	$18.25
G0009 Administration of pneumococcal vaccine	43	43	$35.00	$17.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	37	$135.00	$56.76
90670 Pneumococcal vaccine for injection into muscle	25	25	$255.96	$214.41
99496 Transitional care management services for problem of high complexity	24	20	$450.00	$259.82
17000 Destruction of skin growth	22	18	$190.00	$70.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$122.47	$117.27
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$225.00	$176.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$115.00	$48.78
90682 Influenza vaccine, quadrivalent derived from recombinant dna	17	17	$56.00	$55.87
20610 Aspiration and/or injection of fluid from large joint	15	13	$200.00	$66.86
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	13	12	$100.00	$43.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	635	346	$290.00	$113.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	248	248	$200.00	$120.82
99213 Established patient office or other outpatient visit, typically 15 minutes	198	146	$190.00	$77.75
G0008 Administration of influenza virus vaccine	140	139	$35.00	$17.30
90662 Influenza vaccine split virus, preservative free	139	138	$55.76	$54.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	62	14	$11.80	$1.60
G0009 Administration of pneumococcal vaccine	53	53	$35.00	$17.09
93000 Routine ekg using at least 12 leads including interpretation and report	49	49	$55.00	$17.94
81003 Automated urinalysis test	48	38	$11.00	$2.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	38	$132.67	$55.75
17000 Destruction of skin growth	39	37	$190.00	$68.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$117.15	$106.21
94010 Test to measure expiratory airflow and volume	34	32	$90.00	$37.74
69210 Removal of impacted ear wax	27	25	$135.89	$49.98
90670 Pneumococcal vaccine for injection into muscle	25	25	$232.20	$208.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$200.00	$178.65
99496 Transitional care management services for problem of high complexity	22	19	$431.82	$241.92
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	16	$97.95	$43.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$225.00	$172.99
17003 Destruction of precancer skin growth, 2-14 growths	18	18	$35.00	$6.00
99495 Transitional care management services for problem of at least moderate complexity	16	16	$381.88	$171.51
20610 Aspiration and/or injection of fluid from large joint	15	12	$200.00	$61.48
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	14	14	$2.50	$0.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	822	386	$290.00	$108.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	295	295	$200.00	$118.42
99213 Established patient office or other outpatient visit, typically 15 minutes	263	199	$165.00	$74.17
G0008 Administration of influenza virus vaccine	213	210	$35.00	$21.55
90662 Influenza vaccine split virus, preservative free	209	206	$55.59	$52.14
G0009 Administration of pneumococcal vaccine	117	117	$35.00	$21.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	24	$11.80	$1.79
93000 Routine ekg using at least 12 leads including interpretation and report	83	74	$55.00	$17.37
90670 Pneumococcal vaccine for injection into muscle	81	81	$216.00	$196.03
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	72	13	$25.00	$9.25
94010 Test to measure expiratory airflow and volume	47	43	$90.00	$37.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	43	43	$113.46	$105.59
17000 Destruction of skin growth	38	33	$190.00	$65.59
99496 Transitional care management services for problem of high complexity	37	32	$350.00	$235.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	37	37	$225.00	$166.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	32	$122.00	$54.66
69210 Removal of impacted ear wax	31	25	$132.00	$49.75
81003 Automated urinalysis test	29	24	$11.00	$2.71
20610 Aspiration and/or injection of fluid from large joint	20	18	$200.00	$60.28
17003 Destruction of precancer skin growth, 2-14 growths	15	13	$35.00	$5.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$30.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	681	341	$290.00	$106.83
99213 Established patient office or other outpatient visit, typically 15 minutes	428	252	$165.00	$73.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	254	254	$200.00	$116.16
G0008 Administration of influenza virus vaccine	200	200	$35.00	$26.66
90662 Influenza vaccine split virus, preservative free	139	139	$50.61	$47.51
G0009 Administration of pneumococcal vaccine	121	121	$35.00	$26.66
90670 Pneumococcal vaccine for injection into muscle	94	94	$205.72	$187.70
93000 Routine ekg using at least 12 leads including interpretation and report	84	78	$55.00	$17.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	19	$11.80	$1.81
99496 Transitional care management services for problem of high complexity	40	34	$350.00	$231.98
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	39	12	$25.00	$9.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	37	$122.00	$54.06
69210 Removal of impacted ear wax	37	31	$132.00	$49.36
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	35	35	$25.00	$24.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$104.75	$94.91
94010 Test to measure expiratory airflow and volume	31	29	$90.00	$36.55
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$25.00	$18.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$225.00	$164.95
17000 Destruction of skin growth	20	19	$190.00	$64.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$200.00	$171.04
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	14	$30.00	$15.40
90471 Administration of 1 vaccine	14	14	$55.00	$26.05
99495 Transitional care management services for problem of at least moderate complexity	13	11	$325.00	$164.01

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 203189

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 203189

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.

Hospital & Practice Group Affiliations

Swift River Medical Associates Llc

35 Bridge St, Belchertown, MA 010078925

Phone: 4132130550

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Ronald Beauzile , MD

Internal Medicine

NPI 1003062647

Doctor of Medicine (M.D.)

Dr. Bart Soar , MD

Internal Medicine

NPI 1013939636

Doctor of Medicine (M.D.)

Kerilyn Barrios , NP

Nurse Practitioner - Family

NPI 1154106979

Nurse Practitioner

Dr. Mary Bartley , MD

Family Medicine

NPI 1396752051

Doctor of Medicine (M.D.)

Hilary Hayden-Moryl , NP

Nurse Practitioner - Family

NPI 1558775221

Nurse Practitioner

Rosario Nelson , NP

Nurse Practitioner - Family

NPI 1669669511

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 95 SARGENT ST, ROUTE 9, BELCHERTOWN, MA 010079881 (Tel: 4133237212)

📍

Updated Business Mailing Address July 08, 2007

Registered at 280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 011991000 (Tel: 4137945700)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN ANDERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #203189 in MA)

🟢

Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306867833

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: September 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Chestnut St, 2nd Fl

Springfield, MA 011991000

Phone: 4137945700

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.