DR. EVAN LEE UNDERWOOD (M.D.) – Family Medicine Physician, NPI 1205148459

DR. EVAN LEE UNDERWOOD (M.D.) is a healthcare provider. based in Mount olive, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 23099 (MS). The NPI Number for DR. EVAN LEE UNDERWOOD (M.D.) is 1205148459

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN LEE UNDERWOOD (M.D.)
NPI
1205148459
Phone
(601) 517-6019
Address
420 SMITH COUNTY ROAD 40
Enumeration Date
3 July 2010
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6045747000
Graduation Year
2010 (16 years ago)
PAC ID
1759507544
Group Practice PAC ID
8628980992
Professional Enrollment ID
I20160121000224
Address ID
MS390832224HA2719028XX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

Provider Addresses for DR. EVAN LEE UNDERWOOD (M.D.)

  • 420 SMITH COUNTY ROAD 40

    MOUNT OLIVE, MS 39119

    Phone: (601) 517-6019

    Type: Mailing

  • 402 YOUENS DR

    WEIMAR, TX 789623680

    Phone: (979) 725-8545

    Fax: (979) 725-8287

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

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: 2016-01-21

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
I20160121000224IEmergency MedicineMSTBD

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
99284Emergency department visit with moderate level of medical decision making158143$0
99285Emergency department visit with high level of medical decision making115110$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3231$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2822$0
99291Critical care, first 30-74 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 39119)

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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: 8628980992View full group profile
NameSpecialtyState
Emergency Medicine, Obstetrics/Gynecology, Obstetrics/GynecologyMS
Internal MedicineMD
Emergency Medicine, Family PracticeAR
Neurology, Emergency MedicineLA
Internal MedicineWV
Emergency MedicineAL
-LA
Emergency Medicine, Internal MedicineMS
-MS
Internal Medicine, Emergency MedicineAL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. EVAN LEE UNDERWOOD (M.D.)?
NPI 1205148459 is assigned to DR. EVAN LEE UNDERWOOD (M.D.) under the national enumeration system.
Is DR. EVAN LEE UNDERWOOD (M.D.)'s NPI currently valid?
The extract we use shows DR. EVAN LEE UNDERWOOD (M.D.) as active.
What kind of provider is DR. EVAN LEE UNDERWOOD (M.D.)?
The page reflects Family Medicine Physician for DR. EVAN LEE UNDERWOOD (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. EVAN LEE UNDERWOOD (M.D.)?
The page summarizes Mount Olive, Mississippi for DR. EVAN LEE UNDERWOOD (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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