Dr. Michael A Perini , MD
Internal Medicine • Midlothian, VA
1230 Alverser Dr Ste 102
Midlothian, VA 231132653
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Michael Perini is listed in NPPES under Internal Medicine.
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NPI assigned on June 2, 2006; this date does not establish years in practice.
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Published CMS data list 3,716 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99458 — Management using the results of remote vital sign monitoring per calendar month: 912 service units.
- 99439 — Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month: 754 service units.
- 99457 — Management using the results of remote vital sign monitoring per calendar month: 716 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,448 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amlodipine Besylate — 66 prescription fills, including refills.
- Levothyroxine Sodium — 52 prescription fills, including refills.
- Quetiapine Fumarate — 50 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 63 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Midlothian, VA (2024, 19 clinicians with data). Median for this group: 1,058. Middle half: 718 to 1,963.
More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: 748. Middle half: 335 to 1,431.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 602 in 2020 to 3,716 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1230 Alverser Dr Ste 102
Midlothian, VA 231132653
CMS Doctors and Clinicians lists 3 distinct group names: Health Bridge, Llc; Healthvisions Md Inc; Privia Medical Group, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1997
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
214 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $187,108 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $145,928 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
2,187 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$42,735 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,104.46 across 60 records.
By nature of payment
- Food and Beverage: $1,104.46 across 60 records.
Reporting-company totals (3 largest of 19)
- ABBVIE INC.: $249.80 across 18 records.
- AstraZeneca Pharmaceuticals LP: $162.03 across 7 records.
- Novo Nordisk Inc: $108.92 across 6 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
29 years (graduated 1997)
CMS Doctors and Clinicians data list 1997 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Perini has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Perini as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Midlothian and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Midlothian, VA (2024, 19 clinicians with data). Median for this group: 1,058. Middle half: 718 to 1,963.
More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: 748. Middle half: 335 to 1,431.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Midlothian, VA (2024, 19 clinicians with data). Median for this group: $112,043. Middle half: $65,074 to $182,102.
A higher Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: $73,309. Middle half: $32,676 to $134,131.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Internal Medicine in Midlothian, VA (2024, 19 clinicians with data). Median for this group: $89,243. Middle half: $49,578 to $140,983.
A higher Medicare payment amount than 85% of clinicians listed under Internal Medicine in Virginia (2024, 2,010 clinicians with data). Median for this group: $56,392. Middle half: $24,672 to $102,762.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Midlothian, VA (2024, 22 clinicians with data). Median for this group: 3,221. Middle half: 540 to 5,151.
Close to the middle for clinicians listed under Internal Medicine in Virginia (2024, 2,088 clinicians with data). Median for this group: 684. Middle half: 116 to 4,028.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Internal Medicine in Midlothian, VA (2024, 22 clinicians with data). Median for this group: $214,070. Middle half: $42,127 to $714,104.
Close to the middle for clinicians listed under Internal Medicine in Virginia (2024, 2,088 clinicians with data). Median for this group: $49,170. Middle half: $2,703 to $324,085.
29 active clinicians are listed under Internal Medicine with a practice address in Midlothian, VA (3,603 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Midlothian
55.2% of these 29 clinicians have the CMS telehealth indicator.
69% of these 29 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 517% from 602 in 2020 to 3,716 in 2024.
- 2020: 602
- 2021: 3,973
- 2022: 11,303
- 2023: 4,032
- 2024: 3,716
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Medicare-allowed amount
Medicare-allowed amount increased 178% from $67,254 in 2020 to $187,108 in 2024.
- 2020: $67,254
- 2021: $233,695
- 2022: $588,505
- 2023: $224,052
- 2024: $187,108
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Paid by Medicare
Paid by Medicare increased 184% from $51,351 in 2020 to $145,928 in 2024.
- 2020: $51,351
- 2021: $186,859
- 2022: $464,658
- 2023: $171,852
- 2024: $145,928
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 31% from 1,106 in 2020 to 1,448 in 2024.
- 2020: 1,106
- 2021: 132
- 2022: 85
- 2023: 578
- 2024: 1,448
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30-day fills
30-day fills increased 91% from 1,148 in 2020 to 2,187 in 2024.
- 2020: 1,148
- 2021: 134
- 2022: 85
- 2023: 640
- 2024: 2,187
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Part D drug cost
Part D drug cost decreased 55% from $94,798 in 2020 to $42,735 in 2024.
- 2020: $94,798
- 2021: $2,739
- 2022: $5,847
- 2023: $22,953
- 2024: $42,735
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $22.79 in 2019 to $1,104.46 in 2025.
- 2019: $22.79
- 2023: $14.78
- 2024: $876.05
- 2025: $1,104.46
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 60 records totaling $1,104.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $51.27 |
| Viatris Specialty LLC |
Food and Beverage
In-kind items and services
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YUPELRI | General | $37.33 |
| Vanda Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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HETLIOZ | General | $32.46 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $31.25 |
| Vanda Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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FANAPT | General | $28.65 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $28.57 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $25.54 |
| ARS Pharmaceuticals Operations, Inc. |
Food and Beverage
In-kind items and services
|
NEFFY | General | $25.24 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $24.01 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
|
REXULTI | General | $23.75 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ZAVZPRET | General | $23.12 |
| Vanda Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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FANAPT | General | $22.31 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $21.49 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AJOVY | General | $20.95 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $20.72 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
NURTEC ODT | General | $20.12 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
TRINTELLIX | General | $20.10 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Rybelsus | General | $19.96 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $19.73 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $19.62 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $19.05 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
— | General | $18.99 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
TRINTELLIX | General | $18.92 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $18.25 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
MOUNJARO | General | $18.24 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99458
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
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912 | 89 | $63.60 | $38.98 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
|
754 | 64 | $57.79 | $46.35 |
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99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
716 | 93 | $73.67 | $48.26 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
577 | 66 | $76.36 | $60.49 |
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99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
546 | 82 | $105.97 | $46.41 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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99 | 86 | $160.00 | $124.17 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
25 | 23 | $220.00 | $174.69 |
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99497
Advance care planning, first 30 minutes
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19 | 19 | $150.00 | $79.15 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
17 | 17 | $175.00 | $125.67 |
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99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
|
13 | 13 | $50.53 | $20.49 |
|
G0444
Annual depression screening, 5 to 15 minutes
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13 | 13 | $40.00 | $18.33 |
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G0506
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
|
13 | 13 | $90.00 | $60.65 |
|
G0442
Annual alcohol misuse screening, 5 to 15 minutes
|
12 | 12 | $40.00 | $18.33 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 66 | 4,024 | $460.81 | 28 |
| Levothyroxine Sodium | Levothyroxine Sodium | 52 | 2,806 | $362.34 | 25 |
| Quetiapine Fumarate | Quetiapine Fumarate | 50 | 1,925 | $857.46 | 14 |
| Metformin Hcl | Metformin Hcl | 46 | 3,271 | $336.91 | 26 |
| Gabapentin | Gabapentin | 45 | 1,391 | $634.39 | 22 |
| Methylprednisolone | Methylprednisolone | 43 | 259 | $283.22 | 38 |
| Atorvastatin Calcium | Atorvastatin Calcium | 40 | 2,391 | $521.40 | 20 |
| Furosemide | Furosemide | 40 | 1,679 | $107.89 | 22 |
| Pantoprazole Sodium | Pantoprazole Sodium | 40 | 1,385 | $522.95 | 13 |
| Prednisone | Prednisone | 38 | 922 | $152.05 | 29 |
| Losartan Potassium | Losartan Potassium | 37 | 2,820 | $284.78 | 17 |
| Azithromycin | Azithromycin | 33 | 329 | $126.58 | 32 |
| Carvedilol | Carvedilol | 33 | 1,278 | $318.35 | 14 |
| Spironolactone | Spironolactone | 33 | 1,094 | $359.57 | 11 |
| Tamsulosin Hcl | Tamsulosin Hcl | 31 | 1,358 | $327.22 | 13 |
| Dicyclomine Hcl | Dicyclomine Hcl | 28 | 624 | $171.01 | — |
| Omeprazole | Omeprazole | 27 | 1,109 | $183.81 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 27 | 541 | $205.05 | — |
| Eliquis | Apixaban | 27 | 687 | $12,589.20 | 13 |
| Potassium Chloride | Potassium Chloride | 26 | 1,561 | $261.43 | 16 |
| Metoprolol Succinate | Metoprolol Succinate | 23 | 1,050 | $127.38 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 23 | 557 | $723.42 | 13 |
| Finasteride | Finasteride | 22 | 836 | $422.17 | — |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 22 | 464 | $239.85 | — |
| Alprazolam | Alprazolam | 21 | 999 | $83.02 | 12 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-03-16NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20230204000241
DC
0345227435
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Healthvisions Md Inc
1230 Alverser Dr, Midlothian, VA 231132653
Phone: 8048937800
Health Bridge, Llc
9100 Arboretum Pkwy, North Chesterfield, VA 232363471
Phone: 8043683400
Privia Medical Group, Llc
950 N Glebe Rd, Arlington, VA 222034173
Privia Medical Group, Llc
950 N Glebe Rd, Arlington, VA 222034173
Privia Medical Group, Llc
2410 Pagehurst Dr, Midlothian, VA 231136411
Phone: 8048976140
Privia Medical Group, Llc
8644 Sudley Rd, Manassas, VA 201104425
Phone: 5713668845
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1230 ALVERSER DR STE 102, MIDLOTHIAN, VA 231132653 (Tel: 8046775936)
Registered at 2500 RADSTOCK RD, MIDLOTHIAN, VA 231133820 (Tel: 8046775936)
NPI status registered as active in NPPES database
Registered at 7101 JAHNKE RD, SUITE 611, RICHMOND, VA 232254017 (Tel: 8043274046)
Registered at 7101 JAHNKE RD, SUITE 611, RICHMOND, VA 232254017 (Tel: 8043274046)
Recorded as MICHAEL PERINI, M.D.
Internal Medicine (license number reported to NPPES: VA 0101230768)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Midlothian
- Dr. Morgan Vargo, MD
- Dr. Kulbir Sandhu, MD
- Dr. Sonia Shah-Pandya, MD
- Dr. Kelly Barbour, MD
- Dr. Grace Boyle, DO
- Dr. Melissa Gillen, DO
Mailing Address
2500 Radstock Rd
Midlothian, VA 231133820
Phone: 8046775936