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Dr. Bert Petersen

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NPI Number Detailed Information

Provider Information:

Name: Dr. Bert Petersen
Gender: M
Provider License Number If Given: 195031

NPI Information:

NPI: 1750323267
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/11/2006

Last Update Date: 11/19/2014

Reputation Report:

Provider Business Mailing Address:

Address: 100 OLD PALISADE RD 3012
Fort Lee, NJ 07024
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1133 BROADWAY
New York, NY 10010
Phone Number: 2122318104
Fax Number:

Provider Taxonomy:

Primary: 2086X0206X
Secondary (if any):
State: NY

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About Dr. Bert Petersen

Dr. Bert Petersen (DR. BERT PETERSEN ) is A Surgery Physician in New York, NY. The NPI Number for Dr. Bert Petersen is 1750323267.
The current location address for Dr. Bert Petersen is 1133 BROADWAY New York, NY 10010 and the contact number is and fax number is . The mailing address for Dr. Bert Petersen is 100 OLD PALISADE RD 3012 Fort Lee, NJ 07024- 2122318104 (mailing address contact number - ).
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Bert Petersen ?


Answer: The NPI Number for Dr. Bert Petersen is 1750323267

Where is Dr. Bert Petersen located?


Answer: Dr. Bert Petersen is located at 1133 BROADWAY New York, NY 10010.

What is the specialty for Dr. Bert Petersen ?


Answer: The Specialty of Dr. Bert Petersen is A Surgery Physician.

Are there any online reviews for Dr. Bert Petersen ?


Answer: Yes! Check It Now.

Are there any other health care providers in New York, NY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Bert Petersen

Number of HCPCS 7
Number of Medicare Beneficiaries 20
Number of Services 33
Total Submitted Charge Amount 34868
Total Medicare Allowed Amount 7608.85
Total Medicare Payment Amount 5992.54
Total Medicare Standardized Payment Amount 4710.06
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 7
Number of Medicare Beneficiaries With Medical 20
Number of Medical Services 33
Total Medical Submitted Charge Amount 34868
Total Medical Medicare Allowed Amount 7608.85
Total Medical Medicare Payment Amount 5992.54
Total Medical Medicare Standardized Payment Amount 4710.06
Average Age of Beneficiaries 67
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries 20
Number of Male Beneficiaries 0
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.65
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.6
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.8278

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type General Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 118
Number of Standardized 30-Day Fills 164.66666667
Aggregate Cost Paid for All Claims 6283.06
Number of Day's Supply for All Claims 3799
Number of Medicare Beneficiaries 21
Number of Claims, Including Refills, for Beneficiaries Age 65+ 98
Including Refills, for Beneficiaries Age 65+ 144.66666667
Beneficiaries Age 65+ 6023.69
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3498
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 11
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 107
Aggregate Cost Paid for Generic Drugs 1498.55
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 86
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 4475.71
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 32
Aggregate Cost Paid for Claims Filled by 1807.35
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 49
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 518.7
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 69
by Low-Income Subsidy 5764.36
Total Claims of Opioid Drugs, Including 47
Aggregate Cost Paid for Opioid Drugs 534.8
Opioid Claims 12
Opioid_Tot_Clms divided by the Tot_Clms 39.830508475
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 17
Aggregate Cost Paid for Antibiotic Drugs 116.38
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 71.80952381
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.3769582877

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