ANDREW HUNTER PETERSEN DO
NPI 1316212517
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Fayetteville, WV

Q: What is Andrew Petersen's NPI number?

The NPI number for Andrew Petersen is 1316212517. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Q: What is Andrew Petersen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Petersen was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment

89.63/100

CMS Quality Rating

211 W MAPLE AVE, FAYETTEVILLE, WV 25840(304) 900-5511 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2020, May 30, 2017 (2 updates tracked since 2017).

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About Andrew Hunter Petersen Do NPPES

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

ANDREW HUNTER PETERSEN DO (NPI 1316212517) is an individual otolaryngology/facial plastic surgery provider in Fayetteville, West Virginia, licensed in Ohio (207YX0905X) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Camc Greenbrier Valley Medical Center, Inc, and is a graduate of West Virginia School Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1316212517

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameANDREW HUNTER PETERSENCredential: DO

Location Address211 W MAPLE AVEFayetteville, WV 25840-1445

Mailing Address5378 Avery RdDublin, OH 43016-6933 · (614) 771-9871 · Fax (614) 771-9877

Phone(304) 900-5511

Sole ProprietorYes

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2012

Enumeration DateMarch 20, 2012

Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1316212517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in OH · 207YX0905X

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

211 W MAPLE AVE, Fayetteville, WV 25840

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Hunter Petersen Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850539735

PECOS Enrollment IDI20180816002809

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

97 services68 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

72 services72 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

63 services55 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services48 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

49 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510002

Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County

Emergency services Birthing friendly

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number510070

Location1710 Harper RoadBeckley, WV 25801 · Raleigh County

Emergency services Birthing friendly

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number511317

Location430 Main Street, WestOak Hill, WV 25901 · Fayette County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.66

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

CHARLESTON MEDICAL CENTER, INC.

Otolaryngology

211 W MAPLE AVE
FAYETTEVILLE, WV 25840

Fayette County (304) 900-5511

RACHAEL LYNN KASS AUD

Audiologist

211 W MAPLE AVE
FAYETTEVILLE, WV 25840

Fayette County (304) 900-5511

VITALITY AESTHETICS AND WELLNESS, LLC

Clinic/Center (Primary Care)

211 W MAPLE AVE
FAYETTEVILLE, WV 25840

Fayette County (304) 574-9876

MRS. ANGELA RENEE GOFF FNP-BC

Nurse Practitioner (Family)

211 W MAPLE AVE
FAYETTEVILLE, WV 25840

Fayette County (304) 900-5511

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 Andrew Petersen's NPI number?

The NPI number for Andrew Petersen is 1316212517. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Andrew Petersen located?

Andrew Petersen practices at 211 W Maple Ave, Fayetteville, WV 25840. The listed phone number is (304) 900-5511.

What is Andrew Petersen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Andrew Petersen enrolled in Medicare?

Yes. Andrew Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Petersen accept?

Health plans from CareSource list Andrew Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Petersen affiliated with any hospitals?

According to CMS data, Andrew Petersen is affiliated with Camc Greenbrier Valley Medical Center, Inc, Raleigh General Hospital and Camc Plateau Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Andrew Petersen was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.