2026 NPPES data Otolaryngology/Facial Plastic Surgery Physician NPI 1316212517 DO
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ANDREW PETERSEN, DO

Otolaryngology/Facial Plastic Surgery Physician in FAYETTEVILLE, West Virginia. 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
791
Medicare Part D claims · 238 beneficiaries · Otolaryngology/Facial Plastic Surgery Physician avg: 561
MIPS score
89.6389/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$13.75
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDREW PETERSEN, DO reported a CMS MIPS final score of 89.6389/100 — above the 83.1 national average — and filed 791 Medicare Part D claims in 2023.

89.6389/100
MIPS score · +7 vs avg
791
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.

ANDREW PETERSEN, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 42% higher than 58% 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. 90–100: 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

Board certification likely (heuristic — not verified)

ANDREW PETERSEN, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 ANDREW PETERSEN, DO?

High performer (top quartile)

NPI registry status

Active

Issued 03/20/2012

NPI 1316212517

Primary specialty

Otolaryngology/Facial Plastic Surgery Physician

Niche

744 US NPIs in this specialty

Medicare Part D claims

791 41% vs specialty avg

2023 prescription claims

Specialty avg: 561

MIPS final score

89.6389/100 6.538900000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Otolaryngology/Facial Plastic Surgery Physician compares to other specialties among West Virginia providers

West Virginia providers

Otolaryngology/Facial Plastic Surgery Physician share within West Virginia

1. Otolaryngology/Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology/Facial Plastic Surgery Physician share within West Virginia

Medicare quality performance — MIPS

ANDREW PETERSEN, DO's 2023 MIPS final score plotted against the Otolaryngology/Facial Plastic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
89.6389/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology/Facial Plastic Surgery Physician) — 89.6389/100 vs national avg 83.1

0%100%National avg83%89.6%
MIPS final score (Otolaryngology/Facial Plastic Surgery Physician) — 89.6389/100 vs national avg 83.1

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).

ANDREW PETERSEN, DO is a Otolaryngology/Facial Plastic Surgery Physician provider practicing in FAYETTEVILLE, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1316212517. 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.

ANDREW PETERSEN, DO appears in the CMS NPPES registry as a Otolaryngology/Facial Plastic Surgery Physician provider holding DO credentials at 211 W MAPLE AVE, FAYETTEVILLE, WV, 25840, with a listed phone of (304) 900-5511. NPI 1316212517 was issued on 03/20/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PETERSEN 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 791 prescription claims written by this provider, covering 238 Medicare beneficiaries and totaling roughly $18K in drug spend, with an opioid prescribing rate of 5.8%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.6389/100 for the 2023 performance year (Quality 77.663), compared with the national average of 83.1.

Otolaryngology/Facial Plastic Surgery Physician is a narrow specialty nationwide, with 744 enrolled providers across 53 states and an average of 561 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

211 W MAPLE AVE
FAYETTEVILLE, WV 25840

Provider Details

NPI 1316212517
Specialty Otolaryngology/Facial Plastic Surgery Physician
Credentials DO
Gender Male
NPI Issued 03/20/2012

CMS Quality Score (MIPS)

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

89.6389
Final Score
Avg: 83.1
77.663
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ANDREW PETERSEN, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CHARLESTON AREA MEDICAL CENTER INC
CHARLESTON, WV

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 ANDREW PETERSEN, DO. Source: openpaymentsdata.cms.gov.

Total received

$14

Largest payer

Organogenesis Inc.

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.

Medicare Part D Prescribing Data

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

791
Total Claims
$18K
Total Drug Cost
238
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,146
Total Day Supply
28,723
Generic Drug Cost
$17K
Opioid Claims
46 (5.8% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.23
Gender Split
66% female / 34% male
Age Distribution
<65: 45, 65-74: 105, 75-84: 68, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Famotidine
109
Montelukast Sodium
88
Fluticasone Propionate
85
Pantoprazole Sodium
82
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
45
Fluocinolone Acetonide Oil
44
Ipratropium Bromide
41
Prednisone
38
Doxycycline Hyclate
25
Azelastine Hcl
23

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

Otolaryngology/Facial Plastic Surgery Physician Overview

How ANDREW PETERSEN, DO fits within the Otolaryngology/Facial Plastic Surgery Physician landscape nationally.

744
Otolaryngology/Facial Plastic Surgery Physician Providers in US
53
States with Otolaryngology/Facial Plastic Surgery Physician
561
Avg Claims per Provider

ANDREW PETERSEN, DO's 791 claims are above the specialty average of 561.

Nearby Otolaryngology/Facial Plastic Surgery Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as PETERSEN.

Compare Otolaryngology/Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW PETERSEN, DO's specialty?
ANDREW PETERSEN, DO specializes in Otolaryngology/Facial Plastic Surgery Physician and practices in FAYETTEVILLE, West Virginia. Credentials: DO.
How much does ANDREW PETERSEN, DO prescribe under Medicare Part D?
In 2023, ANDREW PETERSEN, DO wrote 791 Medicare Part D claims totaling $18K in drug costs for 238 beneficiaries.
What is ANDREW PETERSEN, DO's Medicare quality score?
ANDREW PETERSEN, DO has a CMS MIPS Final Score of 89.6389/100 (Quality: 77.663). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW PETERSEN, DO located?
ANDREW PETERSEN, DO is located at 211 W MAPLE AVE, FAYETTEVILLE, WV, 25840. Phone: (304) 900-5511.
What is ANDREW PETERSEN, DO's NPI number?
ANDREW PETERSEN, DO's National Provider Identifier (NPI) is 1316212517, issued on 03/20/2012.
Does ANDREW PETERSEN, DO prescribe opioids?
Yes, ANDREW PETERSEN, DO had 46 opioid claims in 2023 with an opioid prescribing rate of 5.8%.
How many Otolaryngology/Facial Plastic Surgery Physician providers are there in the US?
There are 744 Otolaryngology/Facial Plastic Surgery Physician providers across 53 states in the US. The average Otolaryngology/Facial Plastic Surgery Physician provider writes 561 Medicare Part D claims per year.
What drugs does ANDREW PETERSEN, DO prescribe most often?
Based on 2023 Medicare Part D data, ANDREW PETERSEN, DO's most frequently prescribed drugs include Famotidine, Montelukast Sodium, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW PETERSEN, DO accept Medicare?
ANDREW PETERSEN, DO appears in CMS Medicare data with 791 Part D claims and 238 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW PETERSEN, DO's credentials?
ANDREW PETERSEN, DO's NPI is 1316212517 with credentials DO. 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.
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