James Edward Anderson, MD
NPI 1528002698ActiveIndividual· Internal Medicine, Interventional Cardiology· Winchester, VA
Internal Medicine, Interventional Cardiology (MD) in Winchester, Virginia, trained at State University of New York at Stony Brook, School of Medicine (class of 1989). Their prescriptions cost Medicare Part D more than their services did: $219,217 for 985 claims, against $91,368 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. reported $33.42 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1528002698 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Sep 14, 2021 |
| Certified by provider | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | 0101233109 | VA |
| Internal Medicine | 207R00000X | 34369 | MN |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 34369 | MN |
| Internal Medicine, Interventional Cardiology | 207RI0011X | 34369 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (VA); Practitioner - Cardiovascular Disease (Cardiology) (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 991 |
|---|---|
| Services billed | 1,707 across 54 procedure codes |
| Paid by Medicare | $91,368 |
Part D prescriptions in 2024
| Prescriptions (claims) | 985 · 2,596 30-day fills |
|---|---|
| Patients | 186 |
| Total drug cost | $219,217 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Cardiovascular Disease (Cardiology) |
Medical groups
- Winchester Medical CenterWinchester, VA · 317 clinicians
- Valley Physician Enterprise IncWinchester, VA · 135 clinicians
- Warren Memorial Hospital, Inc.Front Royal, VA · 119 clinicians
- East Mountain Health Physicians IncRanson, WV · 88 clinicians
- Page Memorial Hospital IncLuray, VA · 81 clinicians
- Shenandoah Memorial Hospital, Inc.Woodstock, VA · 61 clinicians
- War Memorial Hospital, Inc.Berkeley Springs, WV · 29 clinicians
- Hampshire Memorial Hospital, Inc.Romney, WV · 25 clinicians
Hospital affiliations
- Hampshire Memorial HospitalRomney, WV
- Page Memorial Hospital, IncLuray, VA
- Shenandoah Memorial HospitalWoodstock, VA
- Warren Memorial HospitalFront Royal, VA
- Winchester Medical CenterWinchester, VA
Industry payments (Open Payments)
- 2025$33.42 · 3 payments from 1 company
- 2024$144.93 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $33.42 | 3 |
What the 2025 payments were for
- Food and Beverage$33.42 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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