Andrea Van Pelt, M.D.
Plastic and Reconstructive Surgery Physician in Grand Rapids, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,352 in Plastic and Reconstructive Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Andrea Van Pelt, M.D. reported a CMS MIPS final score of 86.4/100 - above the 83.1 national average - and filed 18 Medicare Part D claims in 2023.
- 86.4/100
- MIPS score · +3 vs avg
- 18
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Andrea Van Pelt, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 Top 48% higher than 52% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Andrea Van Pelt, M.D. sits
This provider among plastic and reconstructive surgery physician peers
Across the 276 plastic and reconstructive surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrea Van Pelt, M.D. writes more Part D claims than 15% of them and scores higher on MIPS quality than 59% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one plastic and reconstructive surgery physician peer from a representative sample of 60; the gold marker is Andrea Van Pelt, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Andrea Van Pelt, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Andrea Van Pelt, M.D.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Michigan
How Plastic and Reconstructive Surgery Physician compares to other specialties among Michigan providers
Plastic and Reconstructive Surgery Physician ranks #206 among Michigan's specialties (0% of in-state providers)
Each bar is a specialty's share of the Michigan provider total, by primary NUCC taxonomy. The highlighted bar is Plastic and Reconstructive Surgery Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Andrea Van Pelt, M.D.'s 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average
- MIPS Final Score
- 86.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Plastic and Reconstructive Surgery Physician) - 86.4/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Plastic and Reconstructive Surgery Physician US NPIs
86.4/100 MIPS final score - 3.3 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Plastic and Reconstructive Surgery Physician. Quality dim: 81.9. Cost dim: 41.9.
How MIPS and board certification work
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).
Andrea Van Pelt, M.D. appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 4070 LAKE DRIVE SE, Grand Rapids, MI, 49546, with a listed phone of (616) 464-4420. NPI 1285756148 was issued on 04/04/2007.
Medicare Part D records for calendar year 2023 show 18 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $110 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.4/100 for the 2023 performance year (Quality 81.9, Cost 41.9), compared with the national average of 83.1.
Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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
Provider Details
| NPI | 1285756148 |
|---|---|
| Specialty | Plastic and Reconstructive Surgery Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/04/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Andrea Van Pelt, M.D.'s current license status, disciplinary history, and board certifications with the Michigan Department of Licensing and Regulatory Affairs in Michigan before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1285756148 is the unique 10-digit identifier CMS uses to link Van Pelt across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
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 Andrea Van Pelt, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$36
Largest payer
Mentor Worldwide LLC
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.
License & disciplinary context - Michigan MI-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to Andrea Van Pelt, M.D.. To verify Andrea Van Pelt, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 22
- Total Day Supply
- 293
- Brand Drug Cost
- $0
- Generic Drug Cost
- $110
Patient Demographics
- Average Patient Age
- 68.3 years
- Avg HCC Risk Score
- 0.65
Plastic and Reconstructive Surgery Physician Overview
How Andrea Van Pelt, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.
Andrea Van Pelt, M.D.'s 18 claims are below the specialty average of 86.
Nearby Plastic and Reconstructive Surgery Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Van Pelt.
Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Plastic and Reconstructive Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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