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MAXWELL CLYDE OLSON MD
NPI 1083468367
Internal Medicine in Grand Rapids, MI

Active since April 15, 2024PECOS Enrolled
275 MICHIGAN ST NE FL 8, GRAND RAPIDS, MI 49503(616) 391-8810 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2026, Feb 14, 2025, Jun 21, 2024 and 1 more (4 updates tracked since 2024).

About Maxwell Clyde Olson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL CLYDE OLSON MD (NPI 1083468367) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351053140) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1083468367
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAXWELL CLYDE OLSONCredential: MD
Location Address275 MICHIGAN ST NE FL 8Grand Rapids, MI 49503-2531
Mailing Address275 Michigan St Ne Fl 9Grand Rapids, MI 49503-2531
Phone(616) 391-8810
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1083468367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4351053140
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License 4351053140 (MI)
275 MICHIGAN ST NE FL 8, Grand Rapids, MI 49503
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Secondary Practice Location 1

Location 1275 Michigan St NE Fl 9Grand Rapids, MI 49503-2531 · Phone (616) 391-8810

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxwell Clyde Olson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY SUSAN MILLER MD
Pediatrics
275 MICHIGAN ST NE FL 8
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
AMY SAUNDERS DO
Pediatrics
275 MICHIGAN ST NE FL 8
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
ELLIOT MICHAEL ENSINK DO/PHD
Pediatrics
275 MICHIGAN ST NE FL 8
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
DR. KRISTIN RACKETT DO
Pediatrics
275 MICHIGAN ST NE FL 8
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
KARMYN O VICKERY MD
Pediatrics
275 MICHIGAN ST NE FL 8
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
OLIVIA ELISE GYSSLER MD
Pediatrics
275 MICHIGAN ST NE FL 8
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
KEVIN LIU
Pediatrics
275 MICHIGAN ST NE FL 8
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
KATELYN LIU MD
Pediatrics
275 MICHIGAN ST NE FL 8
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxwell Olson's NPI number?

The NPI number for Maxwell Olson is 1083468367. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Maxwell Olson located?

Maxwell Olson practices at 275 Michigan St NE Fl 8, Grand Rapids, MI 49503. The listed phone number is (616) 391-8810.

What is Maxwell Olson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maxwell Olson enrolled in Medicare?

Yes. Maxwell Olson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxwell Olson was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.