2026 NPPES data Family Medicine Physician NPI 1649278359 M.D.
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TONDA ANDERSON, M.D.

Family Medicine Physician in MOUNT WASHINGTON, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 175 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$16.59
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TONDA ANDERSON, M.D. is a Family Medicine Physician ([object Object]) practicing in MOUNT WASHINGTON, Kentucky with a Medicare Part D prescribing footprint of 3K claims across 175 beneficiaries — 12% brand-name prescribing . Industry payments of $16.59 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TONDA ANDERSON, M.D. filed 3,342 Medicare Part D claims in 2023 across MOUNT WASHINGTON, Kentucky. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

TONDA ANDERSON, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

TONDA ANDERSON, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/07/2005

NPI 1649278359

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

3,342 2% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Kentucky

How Family Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Family Medicine Physician share within Kentucky

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

TONDA ANDERSON, M.D. is a Family Medicine Physician provider practicing in MOUNT WASHINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1649278359. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TONDA ANDERSON, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 10536 HIGHWAY 44 E, MOUNT WASHINGTON, KY, 40047, with a listed phone of (502) 538-2554. NPI 1649278359 was issued on 07/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANDERSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,342 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $374K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

10536 HIGHWAY 44 E
MOUNT WASHINGTON, KY 40047

Provider Details

NPI 1649278359
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 07/07/2005

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for TONDA ANDERSON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Exact Sciences Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

TONDA ANDERSON, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 3,342 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,342
Total Claims
$374K
Total Drug Cost
175
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,016
Total Day Supply
205,533
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$297K
Generic Drug Cost
$75K
Opioid Claims
117 (3.5% rate)
Antibiotic Claims
59

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
0.91
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
199
Lisinopril
143
Meloxicam
117
Amlodipine Besylate
109
Simvastatin
103
Metformin Hcl
101
Levothyroxine Sodium
96
Metoprolol Succinate
78
Montelukast Sodium
69
Rosuvastatin Calcium
69

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How TONDA ANDERSON, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

TONDA ANDERSON, M.D.'s 3,342 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as ANDERSON.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TONDA ANDERSON, M.D.'s specialty?
TONDA ANDERSON, M.D. specializes in Family Medicine Physician and practices in MOUNT WASHINGTON, Kentucky. Credentials: M.D..
How much does TONDA ANDERSON, M.D. prescribe under Medicare Part D?
In 2023, TONDA ANDERSON, M.D. wrote 3,342 Medicare Part D claims totaling $374K in drug costs for 175 beneficiaries.
Where is TONDA ANDERSON, M.D. located?
TONDA ANDERSON, M.D. is located at 10536 HIGHWAY 44 E, MOUNT WASHINGTON, KY, 40047. Phone: (502) 538-2554.
What is TONDA ANDERSON, M.D.'s NPI number?
TONDA ANDERSON, M.D.'s National Provider Identifier (NPI) is 1649278359, issued on 07/07/2005.
Does TONDA ANDERSON, M.D. prescribe more brand-name or generic drugs?
TONDA ANDERSON, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $297K in brand drug costs.
Does TONDA ANDERSON, M.D. prescribe opioids?
Yes, TONDA ANDERSON, M.D. had 117 opioid claims in 2023 with an opioid prescribing rate of 3.5%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does TONDA ANDERSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TONDA ANDERSON, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TONDA ANDERSON, M.D. accept Medicare?
TONDA ANDERSON, M.D. appears in CMS Medicare data with 3,342 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TONDA ANDERSON, M.D.'s credentials?
TONDA ANDERSON, M.D.'s NPI is 1649278359 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology