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Active NPI 1609836030 Individual Practitioner Male Practitioner

Dr. Peter Val Severson , MD

Anesthesiology • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Severson, MD is a certified Anesthesiology practicing in Grand Rapids, MI. With approximately 40 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1986, Dr. Severson delivers high-quality medical care to the local community at 3333 EVERGREEN DR NE.

Dr. Severson is affiliated with Saint Mary'S Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection of anesthetic agent, brachial (arm) nerve bundle, ultrasonic guidance imaging supervision and interpretation for insertion of needle, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3333 Evergreen Dr Ne

Grand Rapids, MI 495259756

Telephone 6163644200
Fax 6163647347
Associated Practice Facility / Clinic
🏢 West Michigan Anesthesia, Pc Facility NPI 1225016926

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Grand Rapids, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +19.9 yrs vs City Avg
City Avg: 20.1 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
187 Specialists

Practicing in Grand Rapids, MI (1799 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
96.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Severson (40 Years) 40 Yrs
Grand Rapids Specialty Average (20.1 Years) 20.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
64415 Injection of anesthetic agent, brachial (arm) nerve bundle
11 11 $1908.00 $69.38

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MI 4301406863

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3514464 (MI)

Hospital & Practice Group Affiliations

Saint Mary's Health Services

200 Jefferson Ave Se, Grand Rapids, MI 495034502

Phone: 7342632400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jeffrey Hall , AA

Anesthesiologist Assistant

NPI 1003049164
Lindsay Mckelvey , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023461571

Certified Registered Nurse Anesthetist

NPI 1033172184

Doctor of Osteopathic Medicine (D.O.)

Dr. Samuel Lee , MD

Anesthesiology

NPI 1033538954

Doctor of Medicine (M.D.)

Heather Montgomery-Kanitz , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043571789

Certified Registered Nurse Anesthetist

NPI 1053596387

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2014

Registered at 3333 EVERGREEN DR NE, GRAND RAPIDS, MI 495259756 (Tel: 6163644200)

📍
Updated Business Mailing Address July 03, 2014

Registered at 3333 EVERGREEN DR NE, GRAND RAPIDS, MI 495259756 (Tel: 6163644200)

👤
Provider Name / Credentials Updated July 03, 2014

Recorded as PETER SEVERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Anesthesiology (License #4301406863 in MI)

🟢
Initial NPI Registration & Enumeration March 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609836030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2006
Last Update: July 03, 2014
Sole Proprietor: No

Mailing Address

3333 Evergreen Dr Ne

Grand Rapids, MI 495259756

Phone: 6163644200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.