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Timothy C Petersen

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NPI Number Detailed Information

Provider Information:

Name: Timothy C Petersen
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1639468887
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/28/2011

Last Update Date: 6/30/2016

Reputation Report:

Provider Business Mailing Address:

Address: 860 OMNI BLVD STE 303
Newport News, VA 23606
Phone Number: 7572328769
Fax Number: 7572328875

Provider Business Practice Location Address:

Address: 100 CONSTITUTION DR STE 217
Va Beach, VA 23462
Phone Number: 7579631488
Fax Number:

Provider Taxonomy:

Primary: 390200000X
Secondary (if any): 207RE0101X
State: VA

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About Timothy C Petersen

Timothy C Petersen ( TIMOTHY C PETERSEN ) is An Student in an Organized Health Care Education/Training Program Physician in Va Beach, VA. The NPI Number for Timothy C Petersen is 1639468887.
The current location address for Timothy C Petersen is 100 CONSTITUTION DR STE 217 Va Beach, VA 23462 and the contact number is 7572328769 and fax number is 7572328875. The mailing address for Timothy C Petersen is 860 OMNI BLVD STE 303 Newport News, VA 23606- 7579631488 (mailing address contact number - 7572328769).
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Timothy C Petersen ?


Answer: The NPI Number for Timothy C Petersen is 1639468887

Where is Timothy C Petersen located?


Answer: Timothy C Petersen is located at 100 CONSTITUTION DR STE 217 Va Beach, VA 23462.

What is the specialty for Timothy C Petersen ?


Answer: The Specialty of Timothy C Petersen is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Timothy C Petersen ?


Answer: Yes! Check It Now.

Are there any other health care providers in Va Beach, VA?


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 Timothy C Petersen

Number of HCPCS 54
Number of Medicare Beneficiaries 495
Number of Services 2693
Total Submitted Charge Amount 291127
Total Medicare Allowed Amount 123688.14
Total Medicare Payment Amount 92278.73
Total Medicare Standardized Payment Amount 92699.59
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65 40
Number of Beneficiaries Age 65 to 74 300
Number of Beneficiaries Age 75 to 84 129
Number of Beneficiaries Age Greater 84 26
Number of Female Beneficiaries 358
Number of Male Beneficiaries 137
Number of Non-Hispanic White Beneficiaries 413
Number of Black or African American Beneficiaries 45
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 19
Number of Beneficiaries With Medicare & Medicaid Entitlement 21
Number of Beneficiaries With Medicare Only Entitlement 474
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.43
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.28
Percent (%) of Beneficiaries Identified With Diabetes 0.43
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.66
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.22
Percent (%) of Beneficiaries Identified With Osteoporosis 0.25
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.07
Average HCC Risk Score of Beneficiaries 1.1159

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 Endocrinology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1930
Number of Standardized 30-Day Fills 4040.4666667
Aggregate Cost Paid for All Claims 768496.66
Number of Day's Supply for All Claims 119692
Number of Medicare Beneficiaries 308
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1433
Including Refills, for Beneficiaries Age 65+ 3134.9666667
Beneficiaries Age 65+ 537982.6
Number of Day's Supply for All Claims for Beneficaries Age 65+ 93328
Number of Medicare Beneficiaries Age 65+ 249
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 946
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 770
Aggregate Cost Paid for Generic Drugs 24921.11
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 214
Aggregate Cost Paid for Other Drugs 36403.44
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 829
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 337826.36
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1101
Aggregate Cost Paid for Claims Filled by 430670.3
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 494
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 259756.25
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1436
by Low-Income Subsidy 508740.41
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
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 0
Average Age of Beneficiaries 69.350649351
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 169
Number of Beneficiaries Age 75 to 84 70
Number of Female Beneficiaries 225
Number of Male Beneficiaries 83
Number of Non-Hispanic White 239
Number of Black or African American 46
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 271
Average Hierarchical Condition Category 1.2787192193

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