Dr. Eric Evan Petterson

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Eric Evan Petterson
Gender:	M
Provider License Number If Given:	MD039636L

NPI Information:

NPI:	1245269547
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/1/2006
Last Update Date:	8/16/2021
Reputation Report:

Provider Business Mailing Address:

Address:	411 W PINE ST Mahanoy City, PA 17948
Phone Number:	5704621040
Fax Number:	5704621042

Provider Business Practice Location Address:

Address:	1 S MAIN ST Shenandoah, PA 17976
Phone Number:	5704621040
Fax Number:	5704621042

Provider Taxonomy:

Primary:	207RA0401X
Secondary (if any):	207R00000X
State:	PA

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About Dr. Eric Evan Petterson

Dr. Eric Evan Petterson (DR. ERIC EVAN PETTERSON ) is An Internal Medicine Physician in Shenandoah, PA. The NPI Number for Dr. Eric Evan Petterson is 1245269547.

The current location address for Dr. Eric Evan Petterson is 1 S MAIN ST Shenandoah, PA 17976 and the contact number is 5704621040 and fax number is 5704621042. The mailing address for Dr. Eric Evan Petterson is 411 W PINE ST Mahanoy City, PA 17948- 5704621040 (mailing address contact number - 5704621040).

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Eric Evan Petterson ?

Answer: The NPI Number for Dr. Eric Evan Petterson is 1245269547

Where is Dr. Eric Evan Petterson located?

Answer: Dr. Eric Evan Petterson is located at 1 S MAIN ST Shenandoah, PA 17976.

What is the specialty for Dr. Eric Evan Petterson ?

Answer: The Specialty of Dr. Eric Evan Petterson is An Internal Medicine Physician.

Are there any online reviews for Dr. Eric Evan Petterson ?

Answer: Yes! Check It Now.

Are there any other health care providers in Shenandoah, PA?

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. Eric Evan Petterson

Number of HCPCS	7
Number of Medicare Beneficiaries	30
Number of Services	242
Total Submitted Charge Amount	48365
Total Medicare Allowed Amount	25443.56
Total Medicare Payment Amount	17213.72
Total Medicare Standardized Payment Amount	21785.91
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	30
Number of Medical Services	242
Total Medical Submitted Charge Amount	48365
Total Medical Medicare Allowed Amount	25443.56
Total Medical Medicare Payment Amount	17213.72
Total Medical Medicare Standardized Payment Amount	21785.91
Average Age of Beneficiaries	57
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
Number of Female Beneficiaries
Number of Male Beneficiaries
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	0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
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
Percent (%) of Beneficiaries Identified With Hypertension	0.37
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.1592

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	Hospitalist
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1011
Number of Standardized 30-Day Fills	1297
Aggregate Cost Paid for All Claims	181497.85
Number of Day's Supply for All Claims	37652
Number of Medicare Beneficiaries	39
Number of Claims, Including Refills, for Beneficiaries Age 65+	573
Including Refills, for Beneficiaries Age 65+	829
Beneficiaries Age 65+	54300.05
Number of Day's Supply for All Claims for Beneficaries Age 65+	24213
Number of Medicare Beneficiaries Age 65+	15
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	842
Aggregate Cost Paid for Generic Drugs	69778.59
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	323
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	26462.36
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	688
Aggregate Cost Paid for Claims Filled by	155035.49
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	863
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	162056.53
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	148
by Low-Income Subsidy	19441.32
Total Claims of Opioid Drugs, Including	24
Aggregate Cost Paid for Opioid Drugs	344.55
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms	2.3738872404
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
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	23
Aggregate Cost Paid for Antibiotic Drugs	540.13
Antibiotic Claims	14
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	58.205128205
Number of Beneficiaries Age Less Than 65	24
Number of Beneficiaries Age 65 to 74	12
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	16
Number of Male Beneficiaries	23
Number of Non-Hispanic White	36
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	12
Average Hierarchical Condition Category	1.1515128205

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