JEROME D ANDERSON, D.O. — NPI 1619955986 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology in MACOMB, IL)

CMS-1500 Box 24J / 33a • NPI

1619955986

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207ZP0101X (CMS 22)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology

Box 32 Service Location & ZIP+4

525 E GRANT ST, MACOMB, IL, 61455-3313

✓ 9-Digit EDI 837 ZIP+4 (61455-3313)

Practice Phone & Referral Fax

(309) 837-2368

Fax: (319) 233-0722

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619955986 (JEROME D ANDERSON, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619955986` (NPI-1 Individual Practitioner)
Provider / Legal Name	JEROME D ANDERSON, D.O.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology NUCC Code: `207ZP0101X` (Pathology, Anatomic Pathology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	525 E GRANT ST, MACOMB, IL, 61455-3313
Practice Telephone / Fax	Tel: (309) 837-2368 \| Fax: (319) 233-0722
Administrative Mailing Address	PO BOX 2660, WATERLOO, IA, 50704-2660
Enumeration & Last Sync	Enumerated: 2006-01-05 \| CMS Record Updated: 2007-07-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

525 E GRANT ST, MACOMB, IL, 61455-3313

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Plain-English Taxonomy & CMS Crosswalk (207ZP0101X)

What Does Taxonomy Code 207ZP0101X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0101X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 22 (Physician/Pathology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pathology, Anatomic Pathology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEROME D ANDERSON, D.O.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207ZP0101X` — Pathology, Anatomic Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology	State: IA \| License: `03039` \| Primary: Secondary
`207ZP0101X` — Pathology, Anatomic Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology	State: IL \| License: `36075427` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JEROME D ANDERSON, D.O. (NPI #1619955986)