Active NPI 1992737522 Individual Practitioner Male Practitioner

Dr. Jack Anderson , MD

Internal Medicine • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jack Anderson, MD is a registered healthcare professional specializing in Internal Medicine in Appleton, WI. Practice services are available at 2500 E CAPITOL DR under active NPI credentials.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, injection, gadobenate dimeglumine (multihance), per ml, established 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

2500 E Capitol Dr

Appleton, WI 549118735

Telephone 9207315811

Fax 9207386293

Associated Practice Facility / Clinic

🏢 Radiology Associates Of Appleton, S.c. Facility NPI 1841229093

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Appleton, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

41 Specialists

Practicing in Appleton, WI (2181 Statewide)

Telehealth Adoption Rate

12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.5% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,725	65	$1.06	$0.12
A9577 Injection, gadobenate dimeglumine (multihance), per ml	679	44	$7.13	$1.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	227	$361.85	$122.46
36415 Insertion of needle into vein for collection of blood sample	267	190	$16.05	$2.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$403.55	$125.25
77067 Screening mammography	127	127	$583.70	$89.10
77063 Screening digital tomography of both breasts	118	118	$142.00	$22.65
71046 X-ray of chest, 2 views	97	87	$173.25	$21.92
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	81	75	$327.01	$306.78
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	76	70	$10546.80	$1406.95
71250 Ct scan of chest without contrast	46	44	$726.90	$78.39
77080 Dxa bone density measurement of hip, pelvis, spine	45	45	$244.00	$26.34
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$123.40	$13.51
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$244.10	$86.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	13	$67.50	$21.79
71260 Ct scan of chest with contrast	32	29	$970.65	$75.30
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	31	30	$199.00	$22.67
0064A Adm sarscov2 50mcg/0.25mlbst	30	30	$102.00	$37.47
74177 Ct scan of abdomen and pelvis with contrast	30	28	$1713.10	$228.61
76642 Limited ultrasound scan of 1 breast	25	25	$327.05	$51.08
70553 Mri scan of brain before and after contrast	24	22	$2335.80	$187.22
72148 MRI scan of lower spinal canal	20	20	$1334.55	$123.72
77066 Diagnostic mammography of both breasts	20	20	$576.75	$108.01
77065 Diagnostic mammography of 1 breast	16	15	$450.65	$84.67
70551 Mri scan of brain without contrast	13	13	$1595.55	$130.36
71271 Low dose ct scan of chest for lung cancer screening	13	13	$458.35	$88.02
78816 Nuclear medicine study whole body with ct scan	12	11	$12070.10	$1414.21
72141 MRI scan of upper spinal canal	11	11	$1331.20	$108.76
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$331.60	$93.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	17,650	169	$0.64	$0.12
A9577 Injection, gadobenate dimeglumine (multihance), per ml	1,859	105	$7.45	$1.81
36415 Insertion of needle into vein for collection of blood sample	633	409	$15.56	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	542	310	$349.24	$124.08
77067 Screening mammography	326	326	$564.37	$90.82
77063 Screening digital tomography of both breasts	279	279	$137.28	$23.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	249	249	$389.03	$126.84
85610 Blood test, clotting time	197	58	$20.73	$4.29
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	151	127	$322.28	$308.57
71046 X-ray of chest, 2 views	148	130	$167.40	$21.76
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	144	121	$10182.04	$1394.42
80048 Blood test, basic group of blood chemicals (calcium, total)	143	136	$59.12	$8.45
77080 Dxa bone density measurement of hip, pelvis, spine	128	128	$235.91	$27.06
71260 Ct scan of chest with contrast	128	100	$939.22	$74.34
74177 Ct scan of abdomen and pelvis with contrast	126	102	$1657.54	$229.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	122	115	$53.98	$7.77
71250 Ct scan of chest without contrast	88	81	$703.80	$82.75
G0008 Administration of influenza virus vaccine	65	63	$71.56	$16.22
80061 Blood test, lipids (cholesterol and triglycerides)	64	64	$80.17	$13.36
90662 Influenza vaccine split virus, preservative free	63	61	$135.04	$65.06
83036 Hemoglobin A1C level	63	62	$68.86	$9.71
99213 Established patient office or other outpatient visit, typically 15 minutes	63	58	$235.76	$87.48
70553 Mri scan of brain before and after contrast	53	42	$2251.49	$221.87
76642 Limited ultrasound scan of 1 breast	45	42	$316.51	$52.37
72148 MRI scan of lower spinal canal	40	40	$1294.16	$128.13
93000 Routine ekg using at least 12 leads including interpretation and report	38	38	$119.51	$14.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	19	$65.54	$21.83
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	36	35	$192.69	$23.99
82570 Creatinine level to test for kidney function or muscle injury	28	28	$29.26	$5.18
82043 Urine microalbumin (protein) level	28	28	$40.36	$5.78
82565 Blood creatinine level	27	24	$30.78	$5.12
76705 Limited ultrasound scan of abdomen	26	26	$850.73	$59.93
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	26	25	$320.75	$97.73
71271 Low dose ct scan of chest for lung cancer screening	23	23	$445.00	$91.81
80076 Liver function blood test panel	23	22	$57.10	$8.17
70551 Mri scan of brain without contrast	21	21	$1542.04	$139.24
74176 Ct scan of abdomen and pelvis without contrast	21	21	$790.20	$105.34
70450 Ct scan head or brain without contrast	20	20	$508.22	$68.05
77066 Diagnostic mammography of both breasts	20	20	$557.30	$109.89
77065 Diagnostic mammography of 1 breast	19	18	$437.54	$85.89
78816 Nuclear medicine study whole body with ct scan	19	18	$11630.42	$1394.42
76536 Ultrasound of head and neck	19	19	$519.97	$85.56
76770 Complete ultrasound scan behind abdominal cavity	18	17	$515.76	$74.06
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$207.17	$27.38
0064A Adm sarscov2 50mcg/0.25mlbst	16	16	$100.00	$38.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$518.73	$161.63
74160 Ct scan of abdomen with contrast	15	12	$1265.53	$157.96
70491 CT scan of neck with contrast	15	13	$936.88	$102.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$575.98	$161.30
72141 MRI scan of upper spinal canal	14	14	$1292.45	$124.93
72158 Mri scan of lower spinal canal before and after contrast	14	13	$2279.44	$220.55
72197 Mri scan of pelvis before and after contrast	13	13	$2539.96	$254.31
74220 Single contrast x-ray of esophagus	13	13	$514.71	$68.80
81001 Manual urinalysis test with examination using microscope, automated	13	13	$17.39	$3.17
93880 Ultrasound of both sides of head and neck blood flow	13	13	$589.89	$146.94
85014 Red blood cell concentration measurement	12	11	$14.47	$2.37
74183 Mri scan of abdomen before and after contrast	12	12	$2555.81	$265.13
73721 Mri scan of leg joint without contrast	12	12	$1417.80	$164.37
G0009 Administration of pneumococcal vaccine	11	11	$71.10	$16.23
77049 Mri of both breasts with and without contrast	11	11	$1281.11	$265.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	17,375	170	$0.64	$0.11
36415 Insertion of needle into vein for collection of blood sample	1,694	851	$14.47	$2.98
A9577 Injection, gadobenate dimeglumine (multihance), per ml	1,615	91	$7.32	$1.83
80048 Blood test, basic group of blood chemicals (calcium, total)	727	484	$59.03	$8.41
85610 Blood test, clotting time	646	98	$20.69	$4.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	583	391	$53.93	$7.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	474	316	$334.58	$104.23
80061 Blood test, lipids (cholesterol and triglycerides)	276	255	$80.21	$13.34
83036 Hemoglobin A1C level	271	181	$66.52	$9.64
77067 Screening mammography	267	267	$551.51	$94.22
77063 Screening digital tomography of both breasts	228	228	$134.29	$23.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$373.14	$111.63
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	163	139	$325.01	$300.87
82565 Blood creatinine level	155	107	$30.71	$5.06
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	152	129	$8886.78	$1358.09
80076 Liver function blood test panel	149	113	$57.25	$8.10
77080 Dxa bone density measurement of hip, pelvis, spine	128	128	$218.55	$28.05
71260 Ct scan of chest with contrast	126	104	$935.39	$77.51
74177 Ct scan of abdomen and pelvis with contrast	122	104	$1474.77	$221.39
71046 X-ray of chest, 2 views	116	106	$169.87	$20.49
84132 Blood potassium level	82	32	$26.99	$4.61
G0008 Administration of influenza virus vaccine	82	81	$68.50	$16.24
90662 Influenza vaccine split virus, preservative free	82	81	$128.85	$60.76
71250 Ct scan of chest without contrast	80	71	$704.79	$87.45
81001 Manual urinalysis test with examination using microscope, automated	76	57	$17.19	$3.13
82570 Creatinine level to test for kidney function or muscle injury	73	71	$30.55	$5.09
82043 Urine microalbumin (protein) level	72	70	$38.75	$5.72
85014 Red blood cell concentration measurement	57	34	$13.68	$2.29
85018 Blood count, hemoglobin	54	34	$13.82	$2.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	54	38	$42.13	$6.43
82310 Calcium level, total	52	32	$29.95	$5.03
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	50	47	$162.06	$23.86
83735 Magnesium level	50	34	$54.65	$6.60
70553 Mri scan of brain before and after contrast	49	43	$2122.75	$220.47
72148 MRI scan of lower spinal canal	49	49	$1271.70	$132.11
82947 Blood glucose (sugar) level	48	15	$21.52	$3.92
85048 Automated white blood cell count	47	21	$15.39	$2.45
99213 Established patient office or other outpatient visit, typically 15 minutes	47	45	$225.72	$70.93
76642 Limited ultrasound scan of 1 breast	42	38	$319.39	$51.95
77065 Diagnostic mammography of 1 breast	41	36	$369.99	$89.10
84460 Liver enzyme (sgpt), level	40	36	$30.83	$5.28
77066 Diagnostic mammography of both breasts	32	32	$474.15	$113.88
74176 Ct scan of abdomen and pelvis without contrast	30	25	$723.29	$105.90
G0009 Administration of pneumococcal vaccine	28	28	$69.28	$16.20
70491 CT scan of neck with contrast	26	21	$919.73	$83.49
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$257.85	$119.00
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$106.28	$15.89
76705 Limited ultrasound scan of abdomen	23	22	$837.11	$59.09
82040 Albumin (protein) level	21	18	$28.48	$4.92
83615 Lactate dehydrogenase (enzyme) level	21	17	$44.41	$5.99
93880 Ultrasound of both sides of head and neck blood flow	21	20	$581.06	$153.31
76770 Complete ultrasound scan behind abdominal cavity	20	20	$502.35	$71.46
73221 Mri scan of arm joint without contrast	19	19	$1190.81	$153.96
84450 Liver enzyme (sgot), level	19	17	$29.41	$5.17
70551 Mri scan of brain without contrast	19	19	$1518.78	$141.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	18	$312.05	$95.84
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	18	16	$54.52	$7.98
76536 Ultrasound of head and neck	17	17	$509.41	$84.21
78816 Nuclear medicine study whole body with ct scan	17	15	$9662.69	$1361.32
G0297 Low dose ct scan (ldct) for lung cancer screening	17	17	$1207.60	$178.74
81003 Automated urinalysis test	16	16	$10.36	$2.23
74018 X-ray of abdomen, 1 view	14	14	$156.00	$18.89
72141 MRI scan of upper spinal canal	14	14	$1264.47	$97.46
71275 Ct scan of blood vessels of chest with contrast	13	13	$1302.51	$167.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$552.31	$165.07
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$191.85	$25.37
70450 Ct scan head or brain without contrast	13	13	$507.08	$64.03
73721 Mri scan of leg joint without contrast	12	12	$1131.87	$153.73
73630 X-ray of foot, minimum of 3 views	11	11	$172.82	$22.99
77049 Mri of both breasts with and without contrast	11	11	$1199.02	$271.14
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$513.62	$160.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	20,399	184	$0.62	$0.11
36415 Insertion of needle into vein for collection of blood sample	1,945	947	$12.00	$2.92
A9577 Injection, gadobenate dimeglumine (multihance), per ml	1,552	94	$7.44	$1.90
80048 Blood test, basic group of blood chemicals (calcium, total)	956	605	$57.50	$9.18
85610 Blood test, clotting time	872	128	$20.35	$4.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	764	521	$52.87	$8.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	593	352	$308.08	$103.48
80061 Blood test, lipids (cholesterol and triglycerides)	368	321	$78.72	$14.53
77067 Screening mammography	338	338	$537.42	$93.07
83036 Hemoglobin A1C level	302	194	$57.09	$10.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	282	282	$343.80	$110.98
77063 Screening digital tomography of both breasts	257	257	$130.81	$23.66
80076 Liver function blood test panel	219	184	$55.52	$8.86
71046 X-ray of chest, 2 views	208	192	$173.78	$19.51
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	183	153	$345.03	$296.00
82565 Blood creatinine level	168	112	$30.11	$5.48
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	164	138	$6929.29	$1285.86
71260 Ct scan of chest with contrast	145	110	$913.18	$80.05
74177 Ct scan of abdomen and pelvis with contrast	139	107	$1204.63	$212.57
99213 Established patient office or other outpatient visit, typically 15 minutes	127	116	$208.06	$70.30
77080 Dxa bone density measurement of hip, pelvis, spine	123	123	$191.11	$29.22
G0008 Administration of influenza virus vaccine	114	113	$68.24	$15.92
85652 Red blood cell sedimentation rate, to detect inflammation, automated	111	89	$18.39	$2.94
90662 Influenza vaccine split virus, preservative free	110	109	$117.72	$54.84
71250 Ct scan of chest without contrast	82	74	$705.09	$84.13
82570 Creatinine level to test for kidney function or muscle injury	81	79	$30.36	$5.60
82043 Urine microalbumin (protein) level	81	79	$33.93	$6.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	80	13	$264.92	$87.80
84132 Blood potassium level	78	29	$26.95	$4.87
81001 Manual urinalysis test with examination using microscope, automated	75	59	$16.50	$3.45
85018 Blood count, hemoglobin	61	33	$12.37	$2.53
85014 Red blood cell concentration measurement	61	33	$11.81	$2.53
93000 Routine ekg using at least 12 leads including interpretation and report	60	57	$79.55	$16.12
83615 Lactate dehydrogenase (enzyme) level	57	52	$37.16	$6.58
76642 Limited ultrasound scan of 1 breast	56	52	$311.40	$51.69
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	51	49	$41.49	$7.04
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	50	49	$130.54	$23.79
70553 Mri scan of brain before and after contrast	46	43	$1837.43	$224.04
82947 Blood glucose (sugar) level	45	16	$17.72	$4.24
85048 Automated white blood cell count	44	15	$17.28	$2.69
84460 Liver enzyme (sgpt), level	41	34	$31.18	$5.77
72148 MRI scan of lower spinal canal	37	37	$1244.68	$131.82
74176 Ct scan of abdomen and pelvis without contrast	33	28	$616.51	$107.38
77066 Diagnostic mammography of both breasts	31	31	$367.46	$113.44
77065 Diagnostic mammography of 1 breast	28	27	$298.83	$88.66
G0297 Low dose ct scan (ldct) for lung cancer screening	28	28	$965.90	$173.41
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	27	26	$304.98	$93.31
83735 Magnesium level	26	26	$45.53	$7.29
G0009 Administration of pneumococcal vaccine	26	26	$68.05	$15.92
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	23	$44.02	$7.94
73221 Mri scan of arm joint without contrast	24	23	$884.73	$153.76
70491 CT scan of neck with contrast	24	21	$908.06	$84.68
72141 MRI scan of upper spinal canal	23	23	$1240.74	$120.45
84450 Liver enzyme (sgot), level	23	16	$30.47	$5.63
78816 Nuclear medicine study whole body with ct scan	23	21	$6879.17	$1249.77
81003 Automated urinalysis test	22	22	$10.09	$2.40
70551 Mri scan of brain without contrast	21	21	$1465.26	$139.16
76770 Complete ultrasound scan behind abdominal cavity	20	18	$488.98	$72.27
73502 X-ray of hip, 2-3 views	19	19	$164.65	$30.11
76705 Limited ultrasound scan of abdomen	19	19	$807.63	$57.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$494.36	$158.98
82310 Calcium level, total	19	13	$30.34	$5.62
82040 Albumin (protein) level	18	17	$29.07	$5.39
76536 Ultrasound of head and neck	17	17	$493.52	$83.11
73564 X-ray of knee, 4 or more views	16	16	$186.14	$26.90
70450 Ct scan head or brain without contrast	16	16	$504.23	$65.27
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$79.56	$16.20
73610 X-ray of ankle, minimum of 3 views	15	14	$137.16	$22.87
93880 Ultrasound of both sides of head and neck blood flow	14	14	$561.80	$154.32
73630 X-ray of foot, minimum of 3 views	14	14	$144.25	$22.73
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$174.20	$24.03
73721 Mri scan of leg joint without contrast	13	12	$890.32	$156.85
71275 Ct scan of blood vessels of chest with contrast	13	13	$1274.22	$169.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$225.14	$110.47
90670 Pneumococcal vaccine for injection into muscle	13	13	$446.30	$210.25
76706 Ultrasound scan of abdominal aorta	12	12	$370.70	$81.58
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$511.18	$153.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	18,356	181	$0.43	$0.12
36415 Insertion of needle into vein for collection of blood sample	2,472	1,122	$11.92	$2.93
A9577 Injection, gadobenate dimeglumine (multihance), per ml	1,365	77	$5.18	$2.01
85610 Blood test, clotting time	1,258	158	$19.67	$4.75
80048 Blood test, basic group of blood chemicals (calcium, total)	1,107	677	$57.56	$10.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	884	579	$52.84	$9.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	711	401	$295.00	$102.63
80061 Blood test, lipids (cholesterol and triglycerides)	429	355	$76.01	$16.16
77067 Screening mammography	359	359	$514.00	$94.99
83036 Hemoglobin A1C level	311	202	$55.14	$11.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	300	300	$329.00	$111.88
77063 Screening digital tomography of both breasts	270	270	$125.00	$23.97
80076 Liver function blood test panel	260	218	$55.56	$9.78
71046 X-ray of chest, 2 views	200	180	$166.00	$18.41
82565 Blood creatinine level	179	150	$29.11	$6.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	153	24	$255.00	$87.95
85652 Red blood cell sedimentation rate, to detect inflammation, automated	149	115	$18.42	$3.22
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	138	125	$1314.00	$302.93
G0008 Administration of influenza virus vaccine	138	138	$65.00	$19.63
90662 Influenza vaccine split virus, preservative free	131	131	$100.00	$52.07
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	129	117	$6634.00	$1296.81
71260 Ct scan of chest with contrast	113	100	$874.00	$85.14
74177 Ct scan of abdomen and pelvis with contrast	99	86	$1152.00	$209.64
82570 Creatinine level to test for kidney function or muscle injury	99	99	$29.34	$6.19
77080 Dxa bone density measurement of hip, pelvis, spine	97	97	$219.00	$39.94
82043 Urine microalbumin (protein) level	97	97	$32.79	$6.92
81001 Manual urinalysis test with examination using microscope, automated	82	68	$16.53	$3.82
99213 Established patient office or other outpatient visit, typically 15 minutes	81	72	$199.00	$68.93
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	69	52	$40.06	$7.73
84132 Blood potassium level	59	42	$26.16	$5.47
71250 Ct scan of chest without contrast	58	53	$675.00	$93.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	56	56	$125.00	$24.12
93000 Routine ekg using at least 12 leads including interpretation and report	56	55	$76.00	$16.05
70553 Mri scan of brain before and after contrast	48	42	$1759.00	$240.07
76642 Limited ultrasound scan of 1 breast	47	45	$288.00	$51.68
72148 MRI scan of lower spinal canal	46	46	$1190.00	$139.17
77065 Diagnostic mammography of 1 breast	45	45	$287.00	$90.53
85014 Red blood cell concentration measurement	44	32	$11.46	$2.82
85018 Blood count, hemoglobin	44	32	$12.39	$2.82
84460 Liver enzyme (sgpt), level	42	38	$30.11	$6.29
83735 Magnesium level	41	26	$45.55	$8.10
84450 Liver enzyme (sgot), level	34	28	$29.44	$6.12
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	34	31	$292.00	$94.70
81003 Automated urinalysis test	32	32	$9.78	$2.68
82947 Blood glucose (sugar) level	30	24	$17.12	$4.69
77066 Diagnostic mammography of both breasts	29	29	$351.00	$115.49
74018 X-ray of abdomen, 1 view	28	26	$152.00	$17.12
G0009 Administration of pneumococcal vaccine	26	26	$65.00	$19.63
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	23	$42.00	$7.77
85048 Automated white blood cell count	24	13	$17.29	$2.94
72141 MRI scan of upper spinal canal	24	24	$1189.00	$133.58
73721 Mri scan of leg joint without contrast	23	23	$888.00	$169.26
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$167.00	$22.56
76770 Complete ultrasound scan behind abdominal cavity	23	23	$469.00	$73.92
74176 Ct scan of abdomen and pelvis without contrast	21	20	$588.00	$108.36
84443 Blood test, thyroid stimulating hormone (TSH)	21	21	$93.50	$20.33
G0297 Low dose ct scan (ldct) for lung cancer screening	20	20	$923.00	$177.71
73030 X-ray of shoulder, minimum of 2 views	18	18	$137.78	$20.91
71275 Ct scan of blood vessels of chest with contrast	17	17	$1218.00	$199.74
70491 CT scan of neck with contrast	17	15	$870.00	$97.95
74178 Ct scan of abdomen and pelvis before and after contrast	17	17	$1319.00	$237.58
70551 Mri scan of brain without contrast	16	16	$1405.00	$140.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$487.00	$164.58
76705 Limited ultrasound scan of abdomen	16	16	$773.00	$59.79
76536 Ultrasound of head and neck	16	16	$474.00	$85.41
70450 Ct scan head or brain without contrast	16	16	$486.00	$69.99
82040 Albumin (protein) level	15	13	$28.14	$5.99
93880 Ultrasound of both sides of head and neck blood flow	15	15	$535.00	$158.15
72158 Mri scan of lower spinal canal before and after contrast	14	14	$1709.00	$226.32
84153 Psa (prostate specific antigen) measurement, total	14	14	$102.48	$22.26
73502 X-ray of hip, 2-3 views	14	14	$158.00	$28.62
73221 Mri scan of arm joint without contrast	14	14	$851.00	$162.03
90670 Pneumococcal vaccine for injection into muscle	14	14	$425.00	$195.77
85379 Coagulation function measurement, d-dimer; quantitative	14	14	$55.11	$11.69
84295 Blood sodium level	13	11	$27.33	$5.82
86140 Measurement C-reactive protein for detection of infection or inflammation	12	11	$35.59	$6.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$216.00	$105.59
84439 Thyroxine (thyroid chemical), free	11	11	$50.35	$10.91
73564 X-ray of knee, 4 or more views	11	11	$178.18	$30.48
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	11	11	$72.45	$27.49
87086 Bacterial colony count, urine	11	11	$55.45	$9.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	13,200	131	$0.26	$0.12
36415 Insertion of needle into vein for collection of blood sample	2,245	1,002	$10.69	$2.92
A9577 Injection, gadobenate dimeglumine (multihance), per ml	1,319	78	$3.72	$2.05
80048 Blood test, basic group of blood chemicals (calcium, total)	1,047	622	$58.41	$10.17
85610 Blood test, clotting time	1,035	154	$19.31	$5.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	793	528	$52.25	$10.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	737	428	$286.00	$102.01
80061 Blood test, lipids (cholesterol and triglycerides)	455	361	$73.97	$12.76
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	350	350	$391.75	$93.97
83036 Hemoglobin A1C level	344	217	$53.63	$12.98
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	308	65	$238.00	$87.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	293	293	$307.00	$110.85
71020 X-ray of chest, 2 views, front and side	254	229	$160.00	$16.04
84443 Blood test, thyroid stimulating hormone (TSH)	246	164	$92.84	$22.46
77063 Screening digital tomography of both breasts	223	223	$84.10	$23.87
80076 Liver function blood test panel	200	161	$56.32	$7.68
82565 Blood creatinine level	162	138	$28.29	$5.81
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	159	110	$41.00	$8.19
G0008 Administration of influenza virus vaccine	147	146	$63.00	$24.12
84153 Psa (prostate specific antigen) measurement, total	140	113	$101.61	$24.70
90662 Influenza vaccine split virus, preservative free	140	138	$86.00	$47.83
82570 Creatinine level to test for kidney function or muscle injury	131	119	$28.58	$6.94
84439 Thyroxine (thyroid chemical), free	129	88	$49.81	$12.05
77080 Dxa bone density measurement of hip, pelvis, spine	120	120	$292.00	$38.96
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	116	103	$18.11	$4.71
82043 Urine microalbumin (protein) level	116	110	$31.95	$7.75
86140 Measurement C-reactive protein for detection of infection or inflammation	111	86	$35.73	$6.84
81001 Manual urinalysis test with examination using microscope, automated	84	66	$16.76	$4.26
87086 Bacterial colony count, urine	84	70	$55.76	$10.85
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	72	46	$39.30	$8.69
85652 Red blood cell sedimentation rate, to detect inflammation, automated	70	63	$18.68	$3.60
99213 Established patient office or other outpatient visit, typically 15 minutes	69	67	$193.00	$69.30
82306 Vitamin d-3 level	63	52	$163.56	$39.80
71250 Ct scan of chest without contrast	61	59	$1400.00	$103.74
84460 Liver enzyme (sgpt), level	58	55	$29.27	$3.98
71260 Ct scan of chest with contrast	54	48	$1400.00	$123.46
76770 Complete ultrasound scan behind abdominal cavity	54	52	$455.00	$72.63
82728 Ferritin (blood protein) level	52	41	$75.27	$18.33
74177 Ct scan of abdomen and pelvis with contrast	51	48	$1611.18	$207.07
82607 Cyanocobalamin (vitamin B-12) level	49	43	$83.26	$20.27
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	47	39	$55.71	$11.62
G0103 Prostate cancer screening; prostate specific antigen test (psa)	47	47	$101.61	$24.73
74000 X-ray of abdomen, single view	45	44	$160.00	$13.71
83540 Iron level	44	37	$36.69	$8.70
70553 Mri scan of brain before and after contrast	44	43	$1644.00	$235.16
72148 MRI scan of lower spinal canal	44	44	$1112.00	$135.04
87088 Bacterial urine culture	44	38	$44.74	$10.88
85014 Red blood cell concentration measurement	42	29	$11.25	$3.10
85018 Blood count, hemoglobin	42	29	$12.56	$3.10
83970 Parathormone (parathyroid hormone) level	41	35	$228.03	$55.49
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	38	35	$279.00	$89.50
84550 Uric acid level, blood	37	28	$26.12	$5.48
76642 Limited ultrasound scan of 1 breast	34	31	$296.47	$53.54
84132 Blood potassium level	33	21	$25.41	$4.19
83880 Natriuretic peptide (heart and blood vessel protein) level	31	27	$187.52	$45.63
72100 X-ray of lower and sacral spine, 2-3 views	30	29	$162.00	$22.48
93000 Routine ekg using at least 12 leads including interpretation and report	28	26	$81.00	$16.16
84481 Thyroid hormone, t3 measurement, free	28	21	$81.60	$15.89
G0009 Administration of pneumococcal vaccine	27	27	$63.00	$22.49
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	26	26	$281.00	$93.49
81003 Automated urinalysis test	26	25	$9.52	$3.02
84450 Liver enzyme (sgot), level	26	25	$28.58	$3.29
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	25	25	$117.40	$24.02
83735 Magnesium level	25	22	$46.24	$9.01
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	24	24	$244.00	$87.71
84100 Phosphate level	24	21	$26.18	$5.89
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	24	24	$341.00	$114.52
73721 Mri scan of leg joint without contrast	24	24	$875.21	$171.77
73030 X-ray of shoulder, minimum of 2 views	24	24	$120.00	$18.44
76705 Limited ultrasound scan of abdomen	23	22	$750.00	$58.15
93880 Ultrasound of both sides of head and neck blood flow	23	23	$515.00	$155.06
82947 Blood glucose (sugar) level	23	18	$16.62	$2.98
74178 Ct scan of abdomen and pelvis before and after contrast	23	23	$1841.00	$239.87
84165 Protein measurement, serum	22	20	$59.31	$14.44
99306 Initial nursing facility visit, typically 45 minutes per day	21	20	$439.00	$160.54
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	21	19	$40.00	$7.85
76536 Ultrasound of head and neck	21	21	$460.00	$84.79
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	21	21	$78.84	$19.18
73630 X-ray of foot, minimum of 3 views	20	18	$131.25	$20.45
70450 Ct scan head or brain without contrast	20	20	$1400.00	$67.66
73564 X-ray of knee, 4 or more views	19	19	$161.05	$28.35
85379 Coagulation function measurement, d-dimer; quantitative	19	19	$55.98	$10.79
83690 Lipase (fat enzyme) level	19	14	$47.60	$9.26
74176 Ct scan of abdomen and pelvis without contrast	19	18	$1400.00	$105.05
82550 Creatine kinase (cardiac enzyme) level, total	17	17	$35.97	$6.26
83550 Iron binding capacity	17	16	$48.31	$11.75
83615 Lactate dehydrogenase (enzyme) level	17	16	$35.26	$6.73
84520 Urea nitrogen level to assess kidney function	17	12	$21.80	$2.61
72141 MRI scan of upper spinal canal	17	17	$1111.00	$130.57
90670 Pneumococcal vaccine for injection into muscle	16	16	$397.00	$174.15
70551 Mri scan of brain without contrast	16	16	$1313.00	$148.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	12	$182.00	$66.22
71275 Ct scan of blood vessels of chest with contrast	16	16	$1846.00	$198.19
84403 Testosterone (hormone) level, total	15	12	$139.24	$33.88
84156 Total protein level, urine	15	14	$21.24	$4.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$441.00	$159.16
73221 Mri scan of arm joint without contrast	13	13	$795.00	$148.03
72158 Mri scan of lower spinal canal before and after contrast	13	13	$1597.00	$249.93
73130 X-ray of hand, minimum of 3 views	12	12	$217.50	$26.05
82040 Albumin (protein) level	12	12	$27.33	$3.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$201.00	$85.69
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$81.00	$16.25
71100 X-ray of ribs of one side of body, 2 views	11	11	$168.00	$20.54
86431 Rheumatoid factor level	11	11	$39.18	$7.62

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 26238-020

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

30608500 (WI)

Commercial Insurance / Payer ID Rr Medicare

110048483

Commercial Insurance / Payer ID Medicare Ptan

711290042 (WI)

Commercial Insurance / Payer ID Medicare Ptan

450030618 (WI)

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Deborah Ihde , MD

Internal Medicine

NPI 1053317594

Doctor of Medicine (M.D.)

Carol Robbins , NP

Nurse Practitioner

NPI 1104858497

Nurse Practitioner

Megan Mclean , NP

Nurse Practitioner - Family

NPI 1154779106

Nurse Practitioner

Dr. Orlando Angelo Taleon , MD

Internal Medicine - Geriatric Medicine

NPI 1194814285

Doctor of Medicine (M.D.)

Dr. Josie Lipp , PharmD

Pharmacist - Ambulatory Care

NPI 1316600331

Doctor of Pharmacy (Pharm.D.)

Heather Books , PA

Physician Assistant

NPI 1356370514

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2011

Registered at 2500 E CAPITOL DR, APPLETON, WI 549118735 (Tel: 9207315811)

📍

Updated Business Mailing Address November 16, 2011

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963298)

👤

Provider Name / Credentials Updated November 16, 2011

Recorded as JACK ANDERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2011

Internal Medicine (License #26238-020 in WI)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1992737522

Entity Type:

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

Enumeration Date: July 06, 2006

Last Update: November 16, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 8003

Appleton, WI 549128003

Phone: 9209963298

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.