Active NPI 1831152008 Individual Practitioner Male Practitioner

Dr. Peter James Halvorson , MD

Surgery • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Dr. Peter Halvorson, MD is a registered healthcare professional specializing in Surgery in Fridley, MN. Practice services are available at 6341 UNIVERSITY AVE NE under active NPI credentials.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large 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

6341 University Ave Ne

Fridley, MN 554324946

Telephone 7635725710

Fax 7635865888

Associated Practice Facility / Clinic

🏢 Columbia Park Medical Group, Pa Facility NPI 1205933611

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fridley, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.0 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

9 Specialists

Practicing in Fridley, MN (770 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	28	$1689.53	$238.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	22	$1446.64	$114.81
45380 Biopsy of large bowel using an endoscope	12	12	$1649.25	$131.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$1597.13	$241.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1362.19	$98.86
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	13	13	$181.23	$5.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$375.64	$108.56
45380 Biopsy of large bowel using an endoscope	11	11	$1547.91	$63.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	15	15	$178.93	$5.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$348.60	$109.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$342.14	$101.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$516.36	$155.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	31	31	$173.35	$5.30
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1264.82	$254.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$310.43	$108.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$471.42	$162.43
45380 Biopsy of large bowel using an endoscope	12	12	$1211.67	$108.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	26	25	$156.96	$5.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1252.89	$252.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$289.46	$90.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	21	21	$148.71	$5.22
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1317.06	$251.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$281.93	$98.83

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 47931

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

125173200 (MN)

Commercial Insurance / Payer ID America's Ppo

2365755 (MN)

Commercial Insurance / Payer ID Medica

1701444 (MN)

Commercial Insurance / Payer ID Preferred One

1044101 (MN)

Commercial Insurance / Payer ID Bcbs Of Mn

488K8HA (MN)

Commercial Insurance / Payer ID Aetna

7533292 (MN)

Commercial Insurance / Payer ID Healthpartners

HP53178 (MN)

Commercial Insurance / Payer ID Ucare Mn

132905 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alan Sadowsky , MD

Ophthalmology

NPI 1023126166

Doctor of Medicine (M.D.)

Dr. Michael Lins , MD

Ophthalmology

NPI 1033141023

Doctor of Medicine (M.D.)

Thomas Riegel , PT

Physical Therapist

NPI 1043303597

Physical Therapist

Dr. Steven Long , MD

Internal Medicine

NPI 1053343970

Doctor of Medicine (M.D.)

Dr. Merle Mark , MD

Family Medicine

NPI 1053413971

Doctor of Medicine (M.D.)

Dr. Rene Royal , OD

Optometrist

NPI 1093823122

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2012

Registered at 6341 UNIVERSITY AVE NE, FRIDLEY, MN 554324946 (Tel: 7635725710)

📍

Updated Business Mailing Address April 10, 2012

Registered at 6401 UNIVERSITY AVE NE, FRIDLEY, MN 554324341 (Tel: 7635725710)

👤

Provider Name / Credentials Updated April 10, 2012

Recorded as PETER HALVORSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2012

Surgery (License #47931 in MN)

🟢

Initial NPI Registration & Enumeration April 10, 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: 1831152008

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 10, 2006

Last Update: April 10, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6401 University Ave Ne

Fridley, MN 554324341

Phone: 7635725710

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.