DR. ANDREW ALBERT PETERSON (M.D.) – Vascular & Interventional Radiology Physician, NPI 1083842033
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
46 INTERVENTIONAL RADIOLOGY in ID
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Provider Addresses for DR. ANDREW ALBERT PETERSON (M.D.)
St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 381-2094
Fax: (208) 381-1791
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $835.
Total Amount is formed as General ($835) + Research ($0) + Ownership ($0) = $835.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($389).
Total Amount
$835
General + Research + Ownership
Payments
26
Total payment records
General Amount
$835
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $389 |
| Inari Medical, Inc. | $274 |
| Stryker Corporation | $109 |
| Penumbra, Inc. | $64 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160701001013 | I | Interventional Radiology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 208 | 190 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 71 | 64 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 66 | 63 | $0 |
| 77012 | Review by radiologist of ct guidance for needle placement | 47 | 46 | $0 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 35 | 35 | $0 |
Insurance plans in this area (ZIP 83712)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | ID | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| General Surgery | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Family Practice | ID |
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