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PROVIDER PROFILE · NPI 1316212517
Andrew Petersen
DO
PRACTICE
VITALITY AESTHETICS AND WELLNESS, LLC
See all providers at this practice →
Otolaryngology
Fayetteville,
WV
I
FACILITY AFFILIATIONS
Hospital & Facility Affiliations (3)
CCN 510002
Hospital
CCN 510070
Hospital
CCN 511317
Hospital
CROSS-REFERENCE
Related data on other Healthparse brands
ProviderScore
OIG/SAM exclusion screening, sanctions history
Healthparse Signals
Monitor this provider for changes — dated NPI change events
QUALITY · MIPS · 2024
Final MIPS score
90.9
Quality
69.7
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.67%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025
Total received
$34
Payment records
2
By payment type
Food and Beverage
$34
Top paying entities
Food and Beverage
$34
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
374
Unique beneficiaries
—
Total services
436
Distinct HCPCS
9
Medicare payment
$45K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 46 Otolaryngology providers in WV — below median (cohort median 565).
PRESCRIBING · PART D · 2024
Total Rx claims
573
Beneficiaries
—
Total drug cost
$8K
Distinct drugs
14
Brand share
7.2%
Top prescribed drugs
Famotidine
108 claims
Fluticasone Propionate
92 claims
Fluocinolone Acetonide Oil
68 claims
Ipratropium Bromide
58 claims
Montelukast Sodium
50 claims
