ELIZABETH S SEVERSON (DO) – Internal Medicine Physician, NPI 1073048450

ELIZABETH S SEVERSON (DO) is a healthcare provider. based in Newberg, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DO211616 (OR). The NPI Number for ELIZABETH S SEVERSON (DO) is 1073048450

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH S SEVERSON (DO)
NPI
1073048450
Phone
(503) 537-5900
Address
1000 N PROVIDENCE DR STE 120
Enumeration Date
24 April 2017
Last Update Date
9 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035371555
Graduation Year
2019 (7 years ago)
PAC ID
9537494034
Group Practice PAC ID
3072415652
Professional Enrollment ID
I20220726001565
Address ID
OR971327485NE1001XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

Provider Addresses for ELIZABETH S SEVERSON (DO)

  • 1000 N PROVIDENCE DR STE 120

    NEWBERG, OR 971327582

    Phone: (503) 537-5900

    Type: Location

  • 9205 SW BARNES RD STE MT2800

    PORTLAND, OR 972256603

    Phone: (503) 216-2621

    Type: Location

  • 9205 SW Barnes Rd Ste Mt2800

    Portland, OR 972256603

    Phone: (503) 216-2621

    Type: Location

  • 200 Mullins Dr

    Lebanon, OR 973553983

    Phone: (541) 259-0200

    Type: Location

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

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: 2022-07-26

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
I20220726001565IInternal MedicineORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes18299$0
99215Established patient office or other outpatient visit, 40-54 minutes4636$0
99204New patient office or other outpatient visit, 45-59 minutes3131$0
96127Assessment of emotional or behavioral problems1615$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 97132)

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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: 3072415652View full group profile
NameSpecialtyState
Internal MedicineCA
P A T H O L O G YOR
-OR
P A T H O L O G YOR
-OR
P A T H O L O G YWA
P A T H O L O G YMA
P A T H O L O G YPA
P A T H O L O G YOR
Cardiovascular Disease (Cardiology)OR

Reviews

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Frequently asked questions

Can I verify ELIZABETH S SEVERSON (DO) with an NPI only?
You can start verification with NPI 1073048450 for ELIZABETH S SEVERSON (DO), then check state licensing separately.
Is ELIZABETH S SEVERSON (DO) listed as active for patients and plans?
The listing shows ELIZABETH S SEVERSON (DO) as active in the NPI system.
What is ELIZABETH S SEVERSON (DO)'s specialty?
The listing groups ELIZABETH S SEVERSON (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ELIZABETH S SEVERSON (DO) on a map?
Expect Newberg, Oregon as a primary anchor for ELIZABETH S SEVERSON (DO) unless the record lists multiple sites.
Is the information about ELIZABETH S SEVERSON (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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