Adam B. Petersen, AA
NPI 1518216613ActiveIndividual· Anesthesiologist Assistant· Springfield, MO
Anesthesiologist Assistant (AA) in Springfield, Missouri, trained at University of Missouri, Kansas City, School of Medicine (class of 2012). Medicare paid $6,518 for services to 63 patients in 2024.
Overview
| NPI | 1518216613 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AA |
| Sole proprietor | No |
| NPI issued | Sep 5, 2012 |
| Last updated in NPPES | Sep 5, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 2012015563 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 67 across 28 procedure codes |
| Paid by Medicare | $6,518 |
Education and affiliations
| Medical school | University of Missouri, Kansas City, School of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Saint Lukes Physician Group IncOverland Park, KS · 1,237 clinicians
Hospital affiliation
- St Lukes Hospital of Kansas CityKansas City, MO
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