SCREVEN T EDGERTON (MD) – Obstetrics & Gynecology Physician, NPI 1033114376

SCREVEN T EDGERTON (MD) is a healthcare provider. based in Austin, Texas. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. M1080 (TX). The NPI Number for SCREVEN T EDGERTON (MD) is 1033114376

Main info

Male
Name
SCREVEN T EDGERTON (MD)
NPI
1033114376
Phone
(512) 451-8211
Address
12200 RENFERT WAY
Enumeration Date
14 June 2005
Last Update Date
5 August 2010
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

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Provider Addresses for SCREVEN T EDGERTON (MD)

  • 12200, Renfert Way, The Centrum, Austin, Travis County, Texas, 78758, United States

    STE 100

    AUSTIN, TX 787585614

    Phone: (512) 451-8211

    Fax: (512) 452-7947

    Type: Location

  • 2416 SHIRE RIDGE DR

    AUSTIN, TX 787322062

    Phone: (512) 299-5955

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($59).

Total Amount

$199

General + Research + Ownership

Payments

7

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2016-07-07

PECOS data refreshed: 2026-05-27

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78758)

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Reviews

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Frequently asked questions

What number should I use to identify SCREVEN T EDGERTON (MD) for billing?
Administrative and clinical systems typically use NPI 1033114376 for SCREVEN T EDGERTON (MD).
Does the public listing show SCREVEN T EDGERTON (MD) as active?
SCREVEN T EDGERTON (MD)'s NPI record reflects an active status in NPPES.
What services align with SCREVEN T EDGERTON (MD)'s listing?
SCREVEN T EDGERTON (MD)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SCREVEN T EDGERTON (MD)?
The directory associates SCREVEN T EDGERTON (MD) with Austin, Texas. Check all listed addresses for suites or satellite offices.
Who maintains SCREVEN T EDGERTON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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