Ian Jacob Anderson, M.D.
NPI 1669884433ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Detroit, MI
Pathology, Anatomic Pathology & Clinical Pathology (M.D.) with Mountain States Pathology PC, practicing in Detroit, Michigan. Medicare paid $113,709 for services to 1,050 patients in 2024. Boston Scientific Corporation reported $17.51 in payments in 2024, mostly food and beverage. Lists Centura Health-Penrose St Francis Health Services and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1669884433 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 28, 2014 |
| Last updated in NPPES | May 26, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 4301101517 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (CO); Practitioner - Pathology (KS); Practitioner - Pathology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,050 |
|---|---|
| Services billed | 3,659 across 34 procedure codes |
| Paid by Medicare | $113,709 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Pathology |
Medical group
- Mountain States Pathology PCLayton, UT · 16 clinicians
Hospital affiliations
- Centura Health-Penrose St Francis Health ServicesColorado Springs, CO
- Centura Health-St Anthony HospitalLakewood, CO
- Mercy Regional Medical CenterDurango, CO
- St Mary-Corwin HospitalPueblo, CO
- St. Catherine Hospital - Garden CityGarden City, KS
Industry payments (Open Payments)
- 2024$17.51 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $17.51 | 1 |
What the 2024 payments were for
- Food and Beverage$17.51 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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