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ANDREA MICHELLE PETERSON M.D.
NPI 1063876019
Obstetrics & Gynecology - Reproductive Endocrinology in Mount Pleasant, SC

Active since April 06, 2016PECOS Enrolled
1375 HOSPITAL DR, MOUNT PLEASANT, SC 29464(843) 405-9918 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrea Michelle Peterson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA MICHELLE PETERSON M.D. (NPI 1063876019) is an individual reproductive endocrinology provider in Mount Pleasant, South Carolina, licensed in South Carolina (87872) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063876019
Entity TypeIndividualFemale
Primary Taxonomy207VE0102X
Provider Legal NameANDREA MICHELLE PETERSONCredential: M.D.
Location Address1375 HOSPITAL DRMount Pleasant, SC 29464-3254
Mailing Address1375 Hospital DrMount Pleasant, SC 29464-3254 · (843) 405-9918
Phone(843) 405-9918
Sole ProprietorNo
Enumeration DateApril 6, 2016
Last NPPES UpdateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1063876019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Licenses✔ Licensed in SC · 87872✔ Licensed in GA · 93452
Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 87872 (SC), 93452 (GA)
1375 HOSPITAL DR, Mount Pleasant, SC 29464
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Michelle Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEASTERN FERTILITY CENTER II, PA
Specialist
1375 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 881-3900
MS. TAMMY LAWLER IVY CRNA
Nurse Anesthetist, Certified Registered
1375 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 883-5800
MR. MICHAEL J SLOWEY MD
Obstetrics & Gynecology (Reproductive Endocrinology)
1375 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 883-5800
COASTAL FERTILITY CENTER
Obstetrics & Gynecology (Reproductive Endocrinology)
1375 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 883-5800
CARRIE RIESTENBERG
Student in an Organized Health Care Education/Training Program
1375 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (619) 723-7630
KESHALA VERNE' ANDERSON NP
Nurse Practitioner (Family)
1375 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 883-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Peterson's NPI number?

The NPI number for Andrea Peterson is 1063876019. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Andrea Peterson located?

Andrea Peterson practices at 1375 Hospital Dr, Mount Pleasant, SC 29464. The listed phone number is (843) 405-9918.

What is Andrea Peterson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Andrea Peterson enrolled in Medicare?

Yes. Andrea Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Peterson was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.