2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1285756148 M.D.
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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.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
18
Medicare Part D claims · Plastic and Reconstructive Surgery Physician avg: 86
MIPS score
86.4/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$36.12
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Andrea Van Pelt, M.D.-Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 59
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.

Board certification likely (heuristic, not verified)

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)

NPI registry status

Active

Issued 04/04/2007

NPI 1285756148

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

18 79% vs specialty avg

2023 prescription claims

Specialty avg: 86

MIPS final score

86.4/100 3.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Plastic and Reconstructive Surgery Physician compares to other specialties among Michigan providers

Michigan providers
Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Plastic and Reconstructive Surgery Physician - 0%Plastic and Reconstructive Surgery Physician0%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance, MIPS

Andrea Van Pelt, M.D.'s 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
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

0%100%National avg83%86.4%
MIPS final score (Plastic and Reconstructive Surgery Physician) - 86.4/100 vs national avg 83.1
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

4070 LAKE DRIVE SE
Grand Rapids, MI 49546

Provider Details

NPI 1285756148
Specialty Plastic and Reconstructive Surgery Physician
Credentials M.D.
Gender Female
NPI Issued 04/04/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

86.4449
Final Score
Avg: 83.1
81.9351
Quality
41.9183
Cost
100
Promoting Interoperability

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.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

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.

18
Total Claims
$110
Total Drug Cost
N/A
Medicare Beneficiaries

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.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

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.

Frequently Asked Questions

What is Andrea Van Pelt, M.D.'s specialty?
Andrea Van Pelt, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in Grand Rapids, Michigan. Credentials: M.D..
How much does Andrea Van Pelt, M.D. prescribe under Medicare Part D?
In 2023, Andrea Van Pelt, M.D. wrote 18 Medicare Part D claims totaling $110 in drug costs for N/A beneficiaries.
What is Andrea Van Pelt, M.D.'s Medicare quality score?
Andrea Van Pelt, M.D. has a CMS MIPS Final Score of 86.4/100 (Quality: 81.9, Cost: 41.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrea Van Pelt, M.D. located?
Andrea Van Pelt, M.D. is located at 4070 LAKE DRIVE SE, Grand Rapids, MI, 49546. Phone: (616) 464-4420.
What is Andrea Van Pelt, M.D.'s NPI number?
Andrea Van Pelt, M.D.'s National Provider Identifier (NPI) is 1285756148, issued on 04/04/2007.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
Does Andrea Van Pelt, M.D. accept Medicare?
Andrea Van Pelt, M.D. appears in CMS Medicare data with 18 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrea Van Pelt, M.D.'s credentials?
Andrea Van Pelt, M.D.'s NPI is 1285756148 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

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

Compiled from official public sources by the PlainDoctor editorial team.