Dr. Jacob Douglas Anderson

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Jacob Douglas Anderson
Gender:	M
Provider License Number If Given:

NPI Information:

NPI:	1316329220
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/26/2015
Last Update Date:	7/8/2020

Provider Business Mailing Address:

Address:	740 S WOODRUFF AVE Idaho Falls, ID 83401
Phone Number:	2085429111
Fax Number:	2085429114

Provider Business Practice Location Address:

Address:	630 E 1400 N STE 150 Logan, UT 84341
Phone Number:	4359154465
Fax Number:	4357878509

Provider Taxonomy:

Primary:	261QX0100X
Secondary (if any):	363LF0000X
State:	UT

Top Doctors in UT

About Dr. Jacob Douglas Anderson

Dr. Jacob Douglas Anderson (DR. JACOB DOUGLAS ANDERSON ) is Definition Clinic/Center Physician in Logan, UT. The NPI Number for Dr. Jacob Douglas Anderson is 1316329220.

The current location address for Dr. Jacob Douglas Anderson is 630 E 1400 N STE 150 Logan, UT 84341 and the contact number is 2085429111 and fax number is 2085429114. The mailing address for Dr. Jacob Douglas Anderson is 740 S WOODRUFF AVE Idaho Falls, ID 83401- 4359154465 (mailing address contact number - 2085429111).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jacob Douglas Anderson ?

Answer: The NPI Number for Dr. Jacob Douglas Anderson is 1316329220

Where is Dr. Jacob Douglas Anderson located?

Answer: Dr. Jacob Douglas Anderson is located at 630 E 1400 N STE 150 Logan, UT 84341.

What is the specialty for Dr. Jacob Douglas Anderson ?

Answer: The Specialty of Dr. Jacob Douglas Anderson is Definition Clinic/Center Physician.

Are there any online reviews for Dr. Jacob Douglas Anderson ?

Answer: Not yet!

Are there any other health care providers in Logan, UT?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jacob Douglas Anderson

Number of HCPCS	37
Number of Medicare Beneficiaries	67
Number of Services	160
Total Submitted Charge Amount	17227.17
Total Medicare Allowed Amount	7847.49
Total Medicare Payment Amount	6037.7
Total Medicare Standardized Payment Amount	6121.65
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	34
Number of Beneficiaries Age 75 to 84	20
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	36
Number of Male Beneficiaries	31
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.22
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.27
Percent (%) of Beneficiaries Identified With Diabetes	0.18
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.36
Percent (%) of Beneficiaries Identified With Hypertension	0.48
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.27
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.992

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	135
Number of Standardized 30-Day Fills	215.66666667
Aggregate Cost Paid for All Claims	6682.3
Number of Day's Supply for All Claims	4833
Number of Medicare Beneficiaries	67
Number of Claims, Including Refills, for Beneficiaries Age 65+	115
Including Refills, for Beneficiaries Age 65+	191.66666667
Beneficiaries Age 65+	6382.85
Number of Day's Supply for All Claims for Beneficaries Age 65+	4389
Number of Medicare Beneficiaries Age 65+	54
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	99
Aggregate Cost Paid for Generic Drugs	1061.68
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	61
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1126.58
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	74
Aggregate Cost Paid for Claims Filled by	5555.72
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	17
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	218.96
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	118
by Low-Income Subsidy	6463.34
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	44
Aggregate Cost Paid for Antibiotic Drugs	307.08
Antibiotic Claims	40
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	70.432835821
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74	31
Number of Beneficiaries Age 75 to 84	19
Number of Female Beneficiaries	37
Number of Male Beneficiaries	30
Number of Non-Hispanic White	62
Number of Black or African American	0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	1.2197412935

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