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Active NPI 1386297869 Individual Practitioner Male Practitioner

Nicholas Peterson , CAA

Anesthesiologist Assistant • Willoughby, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Peterson, CAA is a certified Anesthesiologist Assistant practicing in Willoughby, OH. With approximately 7 years of clinical experience since completing medical education in 2019, Nicholas Peterson delivers high-quality medical care to the local community at 36000 EUCLID AVE.

Nicholas Peterson is affiliated with Cleveland Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for other procedure on urinary system through urethra. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36000 Euclid Ave

Willoughby, OH 440944625

Telephone 4409539600
Associated Practice Facility / Clinic
🏢 Lake Emergency Services Inc Facility NPI 1518927995

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Willoughby, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -8.8 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Willoughby, OH (454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (7 Years) 7 Yrs
Willoughby Specialty Average (15.8 Years) 15.8 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
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
13 12 $416.65 $71.76

Medical Specialties & State Licenses

CMS Verified: 2021-05-06
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License OH 67.000388

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.

Hospital & Practice Group Affiliations

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Phone: 2164445433

Secondary Practice Locations

900 23rd St Nw

Washington, DC 200372342

Phone: 2027154000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Robert Jonath , NP-C

Nurse Practitioner - Family

NPI 1003282328

Nurse Practitioner (Certified)

Dr. James Liggett , DO

Emergency Medicine

NPI 1013414085

Doctor of Osteopathic Medicine (D.O.)

Dornice Friday , MSW, LW

Social Worker - Clinical

NPI 1053941195

Master of Social Work, LW

Dr. Mitchell Ballin , MD

Internal Medicine

NPI 1104866565

Doctor of Medicine (M.D.)

Danielle Zimmerer , NP

Nurse Practitioner - Family

NPI 1124460886

Nurse Practitioner

Dr. Ayyappah Gopalakrishna Pillai , MD

Internal Medicine - Gastroenterology

NPI 1134042310

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 06, 2021

Registered at 36000 EUCLID AVE, WILLOUGHBY, OH 440944625 (Tel: 4409539600)

📍
Updated Business Mailing Address May 06, 2021

Registered at 7757 AUBURN RD STE 15, CONCORD TOWNSHIP, OH 440779604 (Tel: 4403500832)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2021

Anesthesiologist Assistant (License #67.000388 in OH)

NPI Profile Active July 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2019

Registered at 900 23RD ST NW, WASHINGTON, DC 200372342 (Tel: 2027154000)

📍
Updated Business Mailing Address July 23, 2019

Registered at 1160 1ST ST NE APT 435, WASHINGTON, DC 200024794 (Tel: 2169064001)

👤
Provider Name / Credentials Updated July 23, 2019

Recorded as NICHOLAS PETERSON, CAA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Anesthesiologist Assistant (License #AA000121 in DC)

🟢
Initial NPI Registration & Enumeration July 23, 2019

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: 1386297869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2019
Last Update: May 06, 2021
Sole Proprietor: Yes

Mailing Address

7757 Auburn Rd Ste 15

Concord Township, OH 440779604

Phone: 4403500832

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.