MARK A SEVERTSON M.D. NPI 1861499576

NPI Information

  • NPI: 1861499576
  • Provider Name: MARK A SEVERTSON, M.D.
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6420 DUTCHMANS PKWY
    380
    LOUISVILLE, KY
    ZIP 40205
  • Phone: (502) 894-8441

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NPI Details

Mark A Severtson, M.D. is an otolaryngology in Louisville, KY with 34 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Mark A Severtson, M.D. NPI is 1861499576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1992

The provider's business location address is:

6420 DUTCHMANS PKWY
380
LOUISVILLE, KY
ZIP 40205-372
Phone: (502) 894-8441
Fax: (502) 894-4453

The NPI 1861499576 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Removal of impacted ear wax (HCPCS:69210)
  • Exam of ear using a microscope (HCPCS:92504)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complex removal of skin debris and drainage of mastoid cavity (HCPCS:69222)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Obtaining ear cartilage for grafting (HCPCS:21235)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Repair of eardrum and ear canal with removal of middle ear bone (HCPCS:69643)
  • Release of face nerve through side (HCPCS:69720)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 10/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology34466KENTUCKYYes
2207Y00000XOtolaryngology01049174INDIANANo
3207YX0901XOtolaryngologyOtology & Neurotology01049174INDIANANo
4207YX0901XOtolaryngologyOtology & Neurotology34466KENTUCKYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000045447OTHERKENTUCKYANTHEM FACET NUMBER
2040012436OTHERKENTUCKYRAIL ROAD MEDICARE
364344666MEDICAIDKENTUCKY
4200175990AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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