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Charles Abe Andersen

Surgery - Vascular Surgery • Tacoma, WA

Active NPI 1639149479 Individual Practitioner Male Practitioner
Practice location in NPPES

9040 Jackson Ave
Tacoma, WA 984310001

Call 2539683885 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9040 Jackson Ave

Tacoma, WA 984310001

Telephone 2539683885
Fax 2539685997
Organization at the Same NPPES Address or Phone
Defense Finance & Actg Serv Facility NPI 1992784144

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Surgery - Vascular Surgery: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $316.92 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Charles Andersen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Charles Andersen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tacoma and Washington

13 active clinicians are listed under Surgery - Vascular Surgery with a practice address in Tacoma, WA (131 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tacoma

46.2% of these 13 clinicians have the CMS telehealth indicator.

76.9% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $316.92.

Manufacturer Payment Nature Product Type Amount ($)
Kerecis Limited
Education
Cash or cash equivalent
Kerecis SurgiClose General $316.92

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-26
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

License # reported to NPPES UT 151353-1205

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - VASCULAR SURGERY

Medicare Enrollment ID

I20200221000190

Enrollment State Jurisdiction

UT

PECOS Control ID

6608068309

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Robert Bescheinen

Nurse Anesthetist, Certified Registered

NPI 1538614599
Philip Castaneda , PA-C

Physician Assistant

NPI 1073885638

Physician Assistant (Certified)

Dr. Spencer Heggers , MD

Emergency Medicine

NPI 1467958140

Doctor of Medicine (M.D.)

Dr. Benjamin Jabara , MD

Radiology - Vascular & Interventional Radiology

NPI 1750538252

Doctor of Medicine (M.D.)

Dr. Jacob Jerdon , DO

Emergency Medicine

NPI 1730526773

Doctor of Osteopathic Medicine (D.O.)

NPI 1902398407

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
📍
Updated Practice Location August 26, 2020

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539683885)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 9040-A FITZSIMMONS AVE., TACOMA, WA 984310001 (Tel: 2539682424)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 1302 28TH AVENUE CT, MILTON, WA 983547007 (Tel: 2539522135)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as CHARLES ANDERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (license number reported to NPPES: UT 151353-1205)

🟢
Initial NPI Registration & Enumeration January 24, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639149479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2006
Last Update: August 26, 2020
Sole Proprietor: Yes

Other Surgery - Vascular Surgery Specialists in Tacoma

All Surgery - Vascular Surgery Specialists in Tacoma

Mailing Address

1302 28th Avenue Ct

Milton, WA 983547007

Phone: 2539522135

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.