Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881166775 Individual Practitioner Male Practitioner

Jack Raymond Anderson

Surgery • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jack Anderson is a certified Surgery practicing in Cleveland, OH. With approximately 8 years of clinical experience since completing medical education in 2018, Jack Anderson delivers high-quality medical care to the local community at 1730 W 25TH ST.

Jack Anderson is affiliated with Lutheran Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, hospital observation care on day of discharge, subsequent observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1730 W 25th St

Cleveland, OH 441133108

Telephone 2169037287
Associated Practice Facility / Clinic
🏢 Lutheran Hospital Facility NPI 1912950551

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cleveland, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -12.2 yrs vs City Avg
City Avg: 20.2 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
233 Specialists

Practicing in Cleveland, OH (1313 Statewide)

Telehealth Adoption Rate
24.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (8 Years) 8 Yrs
Cleveland Specialty Average (20.2 Years) 20.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
18 17 $135.00 $55.22

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 50.005645RX

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.

Hospital & Practice Group Affiliations

Lutheran Hospital

1730 W 25th St, Cleveland, OH 441133108

Phone: 4408261822

Lutheran Hospital

1730 W 25th St, Cleveland, OH 441133108

Phone: 4408261822

Practice Associates & Co-Workers

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

40 Associated Practitioners
Janice Todd , PA-C

Physician Assistant - Medical

NPI 1003093402

Physician Assistant (Certified)

Kathleen Baker , CNP

Nurse Practitioner

NPI 1023081262

Certified Nurse Practitioner

Miguel Melendez , CNP

Nurse Practitioner - Family

NPI 1023641099

Certified Nurse Practitioner

Emma Tilow , APRNCNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023756764

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Anita Milicia

Social Worker

NPI 1033687728
Leslie Shramko , RD

Dietitian, Registered

NPI 1043039647

Registered Dietitian

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2018

Registered at 1730 W 25TH ST, CLEVELAND, OH 441133108 (Tel: 2169037287)

📍
Updated Business Mailing Address December 18, 2018

Registered at 1730 W 25TH ST, CLEVELAND, OH 441133108

👤
Provider Name / Credentials Updated December 18, 2018

Recorded as JACK ANDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2018

Surgery (License #50.005645RX in OH)

🟢
Initial NPI Registration & Enumeration December 18, 2018

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: 1881166775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2018
Last Update: December 18, 2018
Sole Proprietor: Yes

Mailing Address

1730 W 25th St

Cleveland, OH 441133108

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.