Jack Martin Anderson, M.D.
NPI 1609948223ActiveIndividual· Pediatrics, Neonatal-Perinatal Medicine· San Diego, CA
Pediatrics, Neonatal-Perinatal Medicine (M.D.) in San Diego, California, licensed in CA, with an NPI issued in November 2006. Part D covered 28 prescriptions written in 2024, 89% of them generic.
Overview
| NPI | 1609948223 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 15, 2006 |
| Last updated in NPPES | Dec 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Neonatal-Perinatal Medicine Primary | 2080N0001X | G60266 | CA |
| Pediatrics | 208000000X | G60266 | CA |
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 Order and Referring Only - Pediatric Medicine (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 28 · 56 30-day fills |
|---|---|
| Total drug cost | $2,346 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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