DR. SANFORD LEWIS SEVERIN (M.D.) – Ophthalmology Physician, NPI 1063417814

DR. SANFORD LEWIS SEVERIN (M.D.) is a healthcare provider. based in San ramon, California. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. OOC236190 (CA). The NPI Number for DR. SANFORD LEWIS SEVERIN (M.D.) is 1063417814

Main info

Male
Sole Proprietor
67 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANFORD LEWIS SEVERIN (M.D.)
NPI
1063417814
Phone
(925) 830-8823
Address
5801 NORRIS CANYON RD
Enumeration Date
17 June 2005
Last Update Date
8 March 2016

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9258308823
Graduation Year
1959 (67 years ago)
PAC ID
6800785650
Group Practice PAC ID
1951290709
Professional Enrollment ID
I20080619000679
Address ID
CA945835440SA5801XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,665 OPHTHALMOLOGY in CA

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Provider Addresses for DR. SANFORD LEWIS SEVERIN (M.D.)

  • Norris Canyon Road, Bishop Ranch Business Park, San Ramon, Contra Costa County, California, 94583, United States

    STE 200

    SAN RAMON, CA 945835440

    Phone: (925) 830-8823

    Fax: (925) 866-6610

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-03-16 • Largest payer in this snapshot: Harrow Eye, LLC ($30).

Total Amount

$97

General + Research + Ownership

Payments

4

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080619000679IOphthalmologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system9254$0
92014Established patient complete exam of visual system3130$0
92083Exam of visual field with extended testing2423$0
92250Photography of the retina1919$0
92133Imaging of optic nerve1818$0
View full utilization report →

Insurance plans in this area (ZIP 94583)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951290709View full group profile
NameSpecialtyState
-PA
O P H T H A L M O L O G YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
-CA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SANFORD LEWIS SEVERIN (M.D.)'s NPI?
Yes. DR. SANFORD LEWIS SEVERIN (M.D.) is listed with NPI 1063417814 in the public NPI dataset.
Does the file indicate DR. SANFORD LEWIS SEVERIN (M.D.) is practicing under active NPI?
Directory data currently reports DR. SANFORD LEWIS SEVERIN (M.D.) as active.
What is DR. SANFORD LEWIS SEVERIN (M.D.) best known for clinically?
Directory data describes DR. SANFORD LEWIS SEVERIN (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does DR. SANFORD LEWIS SEVERIN (M.D.) list a practice location?
Patients near San Ramon, California may find DR. SANFORD LEWIS SEVERIN (M.D.) in results; validate coverage separately.
Is the information about DR. SANFORD LEWIS SEVERIN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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