MICHAEL SCOTT SEVERANCE (MD) – Urology Physician, NPI 1790708907

MICHAEL SCOTT SEVERANCE (MD) is a healthcare provider. based in Jefferson city, Missouri. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 101963 (MO). The NPI Number for MICHAEL SCOTT SEVERANCE (MD) is 1790708907

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SCOTT SEVERANCE (MD)
NPI
1790708907
Phone
(573) 636-5115
Address
3207 W TRUMAN BLVD
Enumeration Date
26 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
5733023990
Graduation Year
1988 (38 years ago)
PAC ID
3678539707
Group Practice PAC ID
9133026776
Professional Enrollment ID
I20100820000479
Address ID
MO650653093OS1075XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

271 UROLOGY in MO

Loading map...

Provider Addresses for MICHAEL SCOTT SEVERANCE (MD)

  • 3207, West Truman Boulevard, Jefferson City, Cole County, Missouri, 65109, United States

    JEFFERSON CITY, MO 651090578

    Phone: (573) 636-5115

    Fax: (573) 636-2818

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $1,165.

Total Amount is formed as General ($1,165) + Research ($0) + Ownership ($0) = $1,165.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($256).

Total Amount

$1,165

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2010-08-20

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
I20100820000479IUrologyMOTBD

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
81000Manual urinalysis test with examination using microscope, non-automated156145$0
99214Established patient office or other outpatient visit, 30-39 minutes156130$0
36415Insertion of needle into vein for collection of blood sample9290$0
84153Psa (prostate specific antigen) measurement, total8483$0
81003Automated urinalysis test7363$0
View full utilization report →

Insurance plans in this area (ZIP 65109)

Loading plans...

Provider's Procedures

MICHAEL SCOTT SEVERANCE (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYMO76872Ultrasound of rectum2828

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: 9133026776View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
N E U R O L O G YMO
Nurse PractitionerMO
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for MICHAEL SCOTT SEVERANCE (MD)?
The registry entry for MICHAEL SCOTT SEVERANCE (MD) shows NPI 1790708907.
Is MICHAEL SCOTT SEVERANCE (MD)'s NPI status active today?
Active status means MICHAEL SCOTT SEVERANCE (MD)'s NPI record is not deactivated in the public file.
What does the directory say MICHAEL SCOTT SEVERANCE (MD) does?
Insurance directories may phrase it differently, but here MICHAEL SCOTT SEVERANCE (MD) maps to Urology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL SCOTT SEVERANCE (MD)?
MICHAEL SCOTT SEVERANCE (MD) is associated with Jefferson City, Missouri in the same public data insurers reference.
Can I export MICHAEL SCOTT SEVERANCE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

1706, East Elm Street, Jefferson City, Cole County, Missouri, 65101, United States
NPI: 1316991896

DOUGLAS ALAN WEST (MD)

Urology Physician
3207, West Truman Boulevard, Jefferson City, Cole County, Missouri, 65109, United States
NPI: 1255352043

JOHN PAUL KOONCE (MD)

Urology Physician
3207, West Truman Boulevard, Jefferson City, Cole County, Missouri, 65109, United States
NPI: 1538180393

ERIC IVAN VOGT (MD)

Urology Physician
3207, West Truman Boulevard, Jefferson City, Cole County, Missouri, 65109, United States
NPI: 1164534640

UROLOGY CARE, INC.

Urology Physician
3207 W TRUMAN BLVD
NPI: 1780723205
3207 W TRUMAN BLVD
NPI: 1558682674