DOUGLAS SEVERANCE M.D.
NPI 1639289838
Family Medicine in San Ramon, CA

Active since August 30, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0922388 · Waiver
5601 NORRIS CANYON RD, 330, SAN RAMON, CA 94583(925) 275-0400 Get Directions Write a Review

NPPES record last updated: August 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Severance M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS SEVERANCE M.D. (NPI 1639289838) is an individual family medicine provider in San Ramon, California, licensed in California (G35610) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 20, 2026, and is a graduate of Loma Linda University School Of Medicine (1976).

NPPES Registry Identity

NPI1639289838
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS SEVERANCECredential: M.D.
Location Address5601 NORRIS CANYON RD, 330San Ramon, CA 94583-5407
Mailing Address5601 Norris Canyon Rd, 330San Ramon, CA 94583-5407
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1976
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 13, 2010
NPI 1639289838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G35610
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5601 NORRIS CANYON RD, San Ramon, CA 94583

Other Identifiers 1

Medicare UPINA46416CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Douglas Severance M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800053372
PECOS Enrollment IDI20120210000677
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0922388

Douglas E Severance MD · San Ramon, CA
Active · expires Nov 20, 2026
CLIA Number05D0922388
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorDouglas E. Severance MD
Laboratory Phone(510) 275-0400
Laboratory LocationDouglas E Severance MD5601 Norris Canyon Road Suite 330, San Ramon, CA 94583
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
996 services447 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
390 services224 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
310 services310 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
303 services276 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
206 services206 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
193 services191 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94583 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers47 claims83 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers14 claims14 services$1.16 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers22 claims22 services$31.84 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers19 claims109 services$12.42 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers34 claims34 services$46.11 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers25 claims25 services$16.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
5601 NORRIS CANYON RD
SAN RAMON, CA 94583
Internal Medicine
5601 NORRIS CANYON RD, STE 340
SAN RAMON, CA 94583
Orthopaedic Surgery
5601 NORRIS CANYON RD, SUITE 100
SAN RAMON, CA 94583
Internal Medicine (Infectious Disease)
5601 NORRIS CANYON RD, SUITE 210
SAN RAMON, CA 94583
Nurse Practitioner
5601 NORRIS CANYON RD, STE 140
SAN RAMON, CA 94583
Dermatology
5601 NORRIS CANYON RD
SAN RAMON, CA 94583
Anesthesiology
5601 NORRIS CANYON RD, SUITE 240
SAN RAMON, CA 94583
Internal Medicine (Gastroenterology)
5601 NORRIS CANYON RD, SUITE # 240
SAN RAMON, CA 94583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Severance's NPI number?

The NPI number for Douglas Severance is 1639289838. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Douglas Severance located?

Douglas Severance practices at 5601 Norris Canyon Rd 330, San Ramon, CA 94583. The listed phone number is (925) 275-0400.

What is Douglas Severance's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Severance enrolled in Medicare?

Yes. Douglas Severance is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Douglas Severance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0922388) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Douglas Severance was last updated on August 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.