ADAM B PETERSEN AA
NPI 1518216613
Anesthesiologist Assistant in Springfield, MO

Active since September 05, 2012Accepts Medicare Assignment
77.28/100
CMS Quality Rating
3801 S. NATIONAL, SPRINGFIELD, MO 65807(417) 269-6000 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam B Petersen Aa NPPES

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

ADAM B PETERSEN AA (NPI 1518216613) is an individual anesthesiologist assistant in Springfield, Missouri, licensed in Missouri (2012015563) and active in the NPI registry since September 2012. He is affiliated with St Lukes Hospital Of Kansas City and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2012).

NPPES Registry Identity

NPI1518216613
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameADAM B PETERSENCredential: AA
Location Address3801 S. NATIONALSpringfield, MO 65807
Mailing Address1000 E. Primrose Suite 520Springfield, MO 65807
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2012
Enumeration DateSeptember 5, 2012
NPI 1518216613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in MO · 2012015563
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

3801 S. NATIONAL, Springfield, MO 65807

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Adam B Petersen Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648428342
PECOS Enrollment IDI20120921000786

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other closed procedure on chest 00520
Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
13 services13 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

Other Providers at the Same Location NPPES

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

Anesthesiology
3801 S. NATIONAL
SPRINGFIELD, MO 65807

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 Adam Petersen's NPI number?

The NPI number for Adam Petersen is 1518216613. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Adam Petersen located?

Adam Petersen practices at 3801 S. National, Springfield, MO 65807. The listed phone number is (417) 269-6000.

What is Adam Petersen's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Adam Petersen enrolled in Medicare?

Yes. Adam Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Petersen accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Adam Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Petersen affiliated with any hospitals?

According to CMS data, Adam Petersen is affiliated with St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Adam Petersen was last updated on September 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.