DR. PETTER ANDRE VAAGENES DO
NPI 1982810289
Emergency Medicine in Newark, OH
About Dr. Petter Andre Vaagenes Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETTER ANDRE VAAGENES DO (NPI 1982810289) is an individual emergency medicine provider in Newark, Ohio, licensed in Ohio (34.009309) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Petter Andre Vaagenes Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Petter Vaagenes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, OH 43055
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Licking Memorial Health Professionals
- 280 clinicians in this Medicare group
Mount Vernon, OH 43050
- Reassigned Medicare billing, Ohio enrollment
- 43 clinicians in this Medicare group
Lorain, OH 44053
- Reassigned Medicare billing, Ohio enrollment
- 325 clinicians in this Medicare group
Bellaire, TX 77401
- Reassigned Medicare billing, Texas enrollment
- 197 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Petter Vaagenes's NPI number?
The NPI number for Petter Vaagenes is 1982810289. It was assigned to this individual provider in the NPPES registry on May 15, 2007.
Where is Petter Vaagenes located?
Petter Vaagenes practices at 1320 W Main St, Newark, OH 43055. The listed phone number is (220) 564-4144.
What is Petter Vaagenes's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Petter Vaagenes enrolled in Medicare?
Yes. Petter Vaagenes is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Petter Vaagenes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Petter Vaagenes reassigns Medicare benefits to 4 organizations: Licking Memorial Professional Corporation (Newark, OH), Knox Emergency Services, LLC (Mount Vernon, OH), Community Hospitalist, LLC (Lorain, OH) and Round Table Physicians Group PLLC (Bellaire, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Petter Vaagenes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Petter Vaagenes accept?
Health plans from Blue Cross and Blue Shield of Texas list Petter Vaagenes 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.
When was this NPI record last updated?
The NPPES record for Petter Vaagenes was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Petter Andre Vaagenes, DO · NPI 1982810289
Emergency Medicine physician in Newark, Ohio. Individual provider, active in the CMS NPPES registry since May 15, 2007.
## Identity
- **NPI:** 1982810289 (Entity type: Individual)
- **Enumerated:** May 15, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 34.009309 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1320 W MAIN ST, Newark, OH 43055-1822
- **Phone:** (220) 564-4144 · **Fax:** (220) 564-7153
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Licking Memorial Professional Corporation (NPI 1932186053, Newark, OH); Knox Emergency Services, LLC (NPI 1861450066, Mount Vernon, OH); Community Hospitalist, LLC (NPI 1538236872, Lorain, OH); Round Table Physicians Group PLLC (NPI 1023439114, Bellaire, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2017
- **Other identifiers:** Medicare PIN H192422 (OH); Medicare PIN 4248014 (OH); Medicaid 2933151 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1982810289) · Data from the CMS NPPES public registry.