DR. MERWIN SEVERTSON (M.D.) – Emergency Medicine Physician, NPI 1043625080

DR. MERWIN SEVERTSON (M.D.) is a healthcare provider. based in Augusta, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 6906 (GA). The NPI Number for DR. MERWIN SEVERTSON (M.D.) is 1043625080

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MERWIN SEVERTSON (M.D.)
NPI
1043625080
Phone
Not provided
Address
1120 15TH ST
Enumeration Date
28 June 2014
Last Update Date
28 June 2014

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9109048000
Graduation Year
2014 (12 years ago)
PAC ID
4082960133
Group Practice PAC ID
7214200146
Professional Enrollment ID
I20180703002890
Address ID
NC283769111RA210XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,516 EMERGENCY MEDICINE in GA

Provider Addresses for DR. MERWIN SEVERTSON (M.D.)

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-07-03

PECOS data refreshed: 2026-06-15

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
I20180703002890IEmergency MedicineNCTBD

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
99285Emergency department visit with high level of medical decision making4949$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3331$0
99284Emergency department visit with moderate level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

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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: 7214200146View full group profile
NameSpecialtyState
Emergency Medicine, Critical Care (Intensivists), Internal MedicineNC
Emergency MedicineNC
Emergency MedicineNC
Emergency MedicineNC
Nurse PractitionerNC
-NC
-WA
Emergency MedicineMA
Nurse PractitionerNC
Emergency MedicineKY

Reviews

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Frequently asked questions

What number should I use to identify DR. MERWIN SEVERTSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1043625080 for DR. MERWIN SEVERTSON (M.D.).
Should I treat DR. MERWIN SEVERTSON (M.D.) as an active provider?
Patients and plans typically see DR. MERWIN SEVERTSON (M.D.) as active in the national extract.
What does the directory say DR. MERWIN SEVERTSON (M.D.) does?
Insurance directories may phrase it differently, but here DR. MERWIN SEVERTSON (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MERWIN SEVERTSON (M.D.)?
The directory associates DR. MERWIN SEVERTSON (M.D.) with Augusta, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. MERWIN SEVERTSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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