Doctor profile · Federal record

Dr. Andrea van Pelt, M.D.

Plastic and Reconstructive Surgery Physician · Grand Rapids, MI

  • NPI 1285756148
  • MIPS 77.2 / 100 · 2023
  • 19 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4070 Lake Drive Se, Suite 202
Grand Rapids, MI 49546
(616) 464-4420
fax (616) 464-4354
Mailing address
4070 Lake Drive Se Suite 202, Center for Breast & Body Contouring
Grand Rapids, MI 49546

Credentials & registration

NPPES · NUCC
NPI registered
April 2007 — 19 yrs on file
Profile last updated
March 6, 2013
Specialty taxonomy
2086S0122X — NUCC code
State license (1)
Michigan #4301095522

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1285756148. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$36
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Mentor Worldwide LLC 2 $36.12

By nature of payment

Food and Beverage
$36

Frequently asked questions

Auto-generated from federal data
What is Dr. Andrea van Pelt's medical specialty?
Dr. Andrea van Pelt practices Plastic and Reconstructive Surgery Physician in Grand Rapids, MI.
Where does Dr. Andrea van Pelt practice?
Dr. Andrea van Pelt practices at 4070 Lake Drive Se, Grand Rapids, MI 49546. Office phone: 6164644420.
What is Dr. Andrea van Pelt's NPI?
Dr. Andrea van Pelt's National Provider Identifier (NPI) is 1285756148, issued by NPPES.