Active NPI 1922026079 Individual Practitioner Male Practitioner

Dr. James R Anderson , MD

Orthopaedic Surgery • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Anderson, MD is a certified Orthopaedic Surgery practicing in Cleveland, OH. With approximately 27 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1999, Dr. Anderson delivers high-quality medical care to the local community at 11100 EUCLID AVE.

Dr. Anderson is affiliated with University Hospitals Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection into tendon or ligament, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11100 Euclid Ave

Cleveland, OH 441061716

Telephone 2168447200

Associated Practice Facility / Clinic

🏢 University Radiation Specialty, Inc. Facility NPI 1578565123

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +6.9 yrs vs City Avg

City Avg: 20.1 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

112 Specialists

Practicing in Cleveland, OH (984 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (27 Years) 27 Yrs

Cleveland Specialty Average (20.1 Years) 20.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	217	177	$127.25	$62.34
20550 Injection into tendon or ligament	165	116	$163.99	$34.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	85	$188.00	$92.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$268.00	$125.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$182.00	$78.34
64721 Release and/or relocation of hand nerve	29	28	$1548.00	$411.27
20526 Injection of carpal tunnel	25	22	$278.40	$59.70
20600 Aspiration and/or injection of fluid from small joint	25	20	$164.00	$32.16
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$171.00	$83.24
26055 Incision of tendon covering	13	11	$1051.00	$203.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$69.00	$33.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	370	134	$6.03	$1.04
99213 Established patient office or other outpatient visit, typically 15 minutes	201	174	$139.60	$85.65
20550 Injection into tendon or ligament	126	102	$236.98	$52.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$338.22	$160.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$239.09	$108.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$203.21	$121.83
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$100.00	$64.65
20550 Injection into tendon or ligament	37	35	$163.00	$36.17
26055 Incision of tendon covering	19	13	$1051.00	$225.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$158.00	$95.46
20605 Aspiration and/or injection of medium joint or joint capsule	18	16	$303.33	$58.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$95.00	$54.32
64721 Release and/or relocation of hand nerve	14	13	$1548.00	$427.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$182.00	$81.36
64721 Release and/or relocation of hand nerve	11	11	$1548.00	$427.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$268.00	$130.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	467	151	$6.00	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	218	178	$140.00	$88.01
20550 Injection into tendon or ligament	154	117	$239.08	$53.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	100	$204.00	$124.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$240.00	$109.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$340.00	$163.55
20526 Injection of carpal tunnel	20	17	$350.75	$86.94
20600 Aspiration and/or injection of fluid from small joint	18	11	$254.22	$50.57
26055 Incision of tendon covering	17	14	$1051.00	$245.51
20605 Aspiration and/or injection of medium joint or joint capsule	15	13	$277.33	$55.44
64721 Release and/or relocation of hand nerve	12	11	$1548.00	$413.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$95.00	$54.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	510	162	$6.00	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	245	201	$140.00	$89.29
20550 Injection into tendon or ligament	165	127	$246.06	$54.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	118	$204.00	$126.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$240.00	$110.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$340.00	$166.14
64721 Release and/or relocation of hand nerve	24	23	$1548.00	$389.51
20526 Injection of carpal tunnel	22	20	$402.05	$91.11
26055 Incision of tendon covering	19	14	$1051.00	$221.92
20605 Aspiration and/or injection of medium joint or joint capsule	15	13	$260.00	$51.69
20600 Aspiration and/or injection of fluid from small joint	15	11	$249.60	$49.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$95.00	$54.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	365	119	$6.00	$1.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	134	$204.00	$105.82
99213 Established patient office or other outpatient visit, typically 15 minutes	126	108	$140.00	$73.59
20550 Injection into tendon or ligament	101	82	$240.50	$51.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$240.00	$105.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$340.00	$160.82
20605 Aspiration and/or injection of medium joint or joint capsule	21	16	$284.76	$51.00
20526 Injection of carpal tunnel	17	17	$394.71	$90.37
64721 Release and/or relocation of hand nerve	16	16	$1548.00	$404.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	300	101	$6.00	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	158	129	$140.00	$71.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$240.00	$105.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	119	$204.00	$105.46
20550 Injection into tendon or ligament	97	76	$231.29	$49.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$341.56	$158.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$95.00	$43.33
64721 Release and/or relocation of hand nerve	21	19	$1548.00	$413.04
20526 Injection of carpal tunnel	12	11	$406.67	$88.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	278	91	$6.00	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	130	117	$140.00	$70.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$240.00	$103.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	98	$204.00	$102.54
20550 Injection into tendon or ligament	92	69	$237.04	$47.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$340.00	$152.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	39	$95.00	$41.91
64721 Release and/or relocation of hand nerve	15	15	$1548.00	$402.61
20605 Aspiration and/or injection of medium joint or joint capsule	15	12	$260.00	$47.49
26055 Incision of tendon covering	11	11	$1051.00	$231.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	179	57	$6.00	$1.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$240.00	$103.73
99213 Established patient office or other outpatient visit, typically 15 minutes	72	65	$140.00	$69.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	57	$95.00	$41.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	62	$204.00	$102.94
20550 Injection into tendon or ligament	56	43	$247.34	$48.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$340.00	$157.78
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	21	20	$79.00	$19.07
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$161.00	$71.86
29075 Application of elbow to finger cast	15	15	$341.33	$85.82

Medical Specialties & State Licenses

CMS Verified: 2020-12-13

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35-086628

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2585411 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00255372 (OH)

Commercial Insurance / Payer ID Anthem

000000503697 (OH)

Commercial Insurance / Payer ID Wellcare

363312 (OH)

Commercial Insurance / Payer ID Aetna

7715728 (OH)

Commercial Insurance / Payer ID Unison

000000202887 (OH)

Commercial Insurance / Payer ID Bcmh

2437938 (OH)

Commercial Insurance / Payer ID Buckeye

740466 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00445613 (OH)

Hospital & Practice Group Affiliations

University Hospitals Medical Group Inc

1000 Auburn Dr, Beachwood, OH 441224317

Phone: 2162855028

University Hospitals Medical Group Inc

11100 Euclid Ave, Cleveland, OH 441061716

University Hospitals Medical Group Inc

960 Clague Rd, Westlake, OH 441451586

Phone: 2168447700

University Hospitals Medical Group Inc

3999 Richmond Rd, Beachwood, OH 441226046

Phone: 2165935500

University Hospitals Medical Group Inc

960 Clague Rd, Westlake, OH 441451582

Phone: 2168445661

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Nami Azar , MD

Radiology - Diagnostic Radiology

NPI 1104867357

Doctor of Medicine (M.D.)

Dr. Sean Cupp , MD

Family Medicine - Sports Medicine

NPI 1114985173

Doctor of Medicine (M.D.)

Nancy Kolaczko , RN

Registered Nurse

NPI 1134369432

Registered Nurse

Dr. Brian Victoroff , MD

Orthopaedic Surgery

NPI 1144234121

Doctor of Medicine (M.D.)

Roy Roso , PA-C

Physician Assistant

NPI 1144328857

Physician Assistant (Certified)

Dr. Christina Hardesty , MD

Orthopaedic Surgery

NPI 1205055530

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2012

Registered at 11100 EUCLID AVE, CLEVELAND, OH 441061716 (Tel: 2168447200)

📍

Updated Business Mailing Address January 25, 2012

Registered at 24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 441171714

👤

Provider Name / Credentials Updated January 25, 2012

Recorded as JAMES ANDERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Orthopaedic Surgery (License #35-086628 in OH)

🟢

Initial NPI Registration & Enumeration July 17, 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: 1922026079

Entity Type:

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

Enumeration Date: July 17, 2006

Last Update: December 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24701 Euclid Ave, 3rd Floor

Euclid, OH 441171714

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.