BRADLEY T. ANDERSEN M.D.
NPI 1528018470
Internal Medicine - Rheumatology in Riverside, CA
NPI Status: Active since May 11, 2006
Contact Information
6405 DAY ST
RIVERSIDE, CA
ZIP 92507
Phone: (951) 697-5615
Fax: (951) 697-5687
- Individual
- Male
- Years of Experience 23
- Internal Medicine
- Rheumatology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About BRADLEY ANDERSEN
This page provides the complete NPI Profile along with additional information for Bradley Andersen, an internist established in Riverside, California with a medical specialization in Internal Medicine, focusing in rheumatology and more than 23 years of experience. He graduated from Loma Linda University School Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1528018470 assigned on May 2006. The practitioner's primary taxonomy code is 207RR0500X with license number A89184 (CA). The provider is registered as an individual and his NPI record was last updated April 2025.
- NPI
- 1528018470
- Provider Name
- BRADLEY T. ANDERSEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6405 DAY ST RIVERSIDE, CA 92507
- Location Phone
- (951) 697-5615
- Location Fax
- (951) 697-5687
- Mailing Address
- 6405 DAY ST RIVERSIDE, CA 92507
- Mailing Phone
- (951) 697-5615
- Mailing Fax
- (951) 697-5687
- Medical School Name
- LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-11-2006
- Last Update Date
- 04-10-2025
- Code Navigator
An internist like Bradley Andersen is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Rheumatology
- Taxonomy Code
- 207RR0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A89184
- License State
- CA
- Taxonomy Description
- An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ31887Z | OTHER (01) | CA | BILLING LOCATION |
| 1780782557 | OTHER (01) | CA | SITE NPI |
Medicare Participation & PECOS Enrollment Status
Bradley Andersen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Bradley Andersen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8820001647
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060721000228
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Telephone medical discussion with physician, 11-20 minutes
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 116 times for 43 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 108 times for 73 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 236 times for 108 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 505 times for 49 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 24 times for 24 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 21 times for 21 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 17 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.01 for a new patient copayment and $26.16 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92507 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $136.04
- Minimum New Patient Price $59.6
- Maximum New Patient Price $179.42
- Average New Patient Copayment $34.01
- Minimum New Patient Copayment $14.9
- Maximum New Patient Copayment $44.85
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $104.64
- Minimum Established Patient Price $19.37
- Maximum Established Patient Price $146.42
- Average Established Patient Copayment $26.16
- Minimum Established Patient Copayment $4.84
- Maximum Established Patient Copayment $36.6
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care coordination agreements that promote improvements in patient tracking across settings | Yes | N/A |
| Establish effective care coordination and active referral management that could include one or more of the following: Establish care coordination agreements with frequently used consultants that set expectations for documented flow of information and MIPS eligible clinician or MIPS eligible clinician group expectations between settings. Provide patients with information that sets their expectations consistently with the care coordination agreements; Track patients referred to specialist through the entire process; and/or Systematically integrate information from referrals into the plan of care. | ||
| Care transition documentation practice improvements | Yes | N/A |
| Implementation of practices/processes for care transition that include documentation of how a MIPS eligible clinician or group carried out a patient-centered action plan for first 30 days following a discharge (e.g., staff involved, phone calls conducted in support of transition, accompaniments, navigation actions, home visits, patient information access, etc.). | ||
| Care transition standard operational improvements | Yes | N/A |
| Establish standard operations to manage transitions of care that could include one or more of the following: Establish formalized lines of communication with local settings in which empaneled patients receive care to ensure documented flow of information and seamless transitions in care; and/or Partner with community or hospital-based transitional care services. | ||
| Clinical Information Reconciliation | 20% | 808 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses. | ||
| Engagement of community for health status improvement | Yes | N/A |
| Take steps to improve health status of communities, such as collaborating with key partners and stakeholders to implement evidenced-based practices to improve a specific chronic condition. Refer to the local Quality Improvement Organization (QIO) for additional steps to take for improving health status of communities as there are many steps to select from for satisfying this activity. QIOs work under the direction of CMS to assist MIPS eligible clinicians and groups with quality improvement, and review quality concerns for the protection of beneficiaries and the Medicare Trust Fund. | ||
| e-Prescribing | 97% | 1980 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS). | ||
| Patient-Specific Education | 94% | 1006 |
| The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 83% | 1006 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Public Health Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_PHCDRR_4_MULTI. | ||
| Request/Accept Summary of Care | 95% | 727 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document. | ||
| Secure Messaging | 41% | 1006 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 0 | 1 | 8 | 4 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 1 | 16 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 1 + 1 + 6 + 4 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1528018470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124001045 | RUBEN MURADYAN MD Individual | Family Medicine | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5490 |
| 1679556591 | BRADLEY WIMMER NELSON MD Individual | Family Medicine | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5455 |
| 1215910120 | RHETT BARRY NELSON MD Individual | Otolaryngology | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5570 |
| 1841274347 | LYNN K THOMAS MD Individual | Orthopaedic Surgery | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5600 |
| 1063496545 | JACK ALAN LAURIE MD Individual | Pediatrics | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5430 |
| 1003890682 | EDWARD ANTHONY MATUGA MD Individual | Obstetrics & Gynecology | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5500 |
| 1831174150 | LOUISE LU YIN HUANG MD Individual | Family Medicine | 6405 DAY ST RIVERSIDE, CA 92507 (951) 782-5110 |
| 1326023359 | DOUGLAS OW EATON MD Individual | Internal Medicine | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5405 |
| 1447236914 | MARY PATRICIA GATES RNP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5438 |
| 1023096013 | IRIS FIGUEROA LOIS MD Individual | Pediatrics | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5432 |
| 1174634331 | MAHA MANOHARAN M.D. Individual | Family Medicine | 6405 DAY ST RIVERSIDE, CA 92507 (951) 782-5110 |
| 1669569083 | JONG IN KIM DPM Individual | Podiatrist | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5577 |
| 1205817681 | ANIL RAGHUNATH GARDE MD Individual | Internal Medicine (Gastroenterology) | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5669 |
| 1316310873 | SHERANJIT HUNDAL Individual | Pharmacist | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5656 |
| 1831562644 | HELEN MASTON Individual | Pharmacist | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5656 |
| 1700283918 | JOSEPH ROBLES PA-C Individual | Physician Assistant (Medical) | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5626 |
| 1245568385 | ELIAS HADDAD M.D. Individual | Psychiatry & Neurology (Neurology) | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5460 |
| 1538321732 | DR. JEAN BERNADETTE U ONG KIAN KOC M.D. Individual | Student in an Organized Health Care Education/Training Program | 6405 DAY ST RIVERSIDE, CA 92507 (951) 683-6370 |
| 1700145562 | MRS. DENISSE FORGHANI M.D. Individual | Pediatrics | 6405 DAY ST RIVERSIDE, CA 92507 (951) 683-6370 |
| 1023016847 | DR. CHRISTOPHER JAMES SWANSON M.D. Individual | Internal Medicine | 6405 DAY ST RIVERSIDE, CA 92507 (951) 697-5405 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528018470, enumerated in the NPI registry as an "individual" on May 11, 2006
The provider is located at 6405 Day St Riverside, Ca 92507 and the phone number is (951) 697-5615
The provider's speciality is Internal Medicine with taxonomy code 207RR0500X with a focus in Rheumatology
The provider has more than 23 years of experience. He graduated from Loma Linda University School Of Medicine in 2003.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $136.04 with an average copayment of $34.01 for new patient appointments. Established patients should expect a typical charge of $104.64 and an average copayment of 26.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes and Telephone medical discussion with physician, 11-20 minutes.
This NPI record was last updated on May 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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