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MR. CHARLES SEVERO P.A.
NPI 1639529068
Physician Assistant in Trumbull, CT

Active since June 16, 2016PECOS Enrolled
112 QUARRY ROAD, SUITE 400, TRUMBULL, CT 06611(203) 333-8800(203) 333-6054 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Charles Severo P.a. NPPES

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

MR. CHARLES SEVERO P.A. (NPI 1639529068) is an individual physician assistant in Trumbull, Connecticut, licensed in Connecticut (003579) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639529068
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CHARLES SEVEROCredential: P.A.
Location Address112 QUARRY ROAD, SUITE 400Trumbull, CT 06611-4816
Mailing Address112 Quarry Road, Suite 400Trumbull, CT 06611-4816 · (203) 333-8800 · Fax (203) 333-6054
Phone(203) 333-8800
Fax(203) 333-6054
Sole ProprietorNo
Enumeration DateJune 16, 2016
Last NPPES UpdateJuly 7, 2016
✔ NPI 1639529068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 003579
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
112 QUARRY ROAD, Trumbull, CT 06611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Severo P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06611 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CAITLIN O HARRIS APRN
Nurse Practitioner (Family)
112 QUARRY ROAD, SUITE 120
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 372-4065

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 Charles Severo's NPI number?

The NPI number for Charles Severo is 1639529068. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Charles Severo located?

Charles Severo practices at 112 Quarry Road Suite 400, Trumbull, CT 06611. The listed phone number is (203) 333-8800.

What is Charles Severo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charles Severo enrolled in Medicare?

Yes. Charles Severo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Severo was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.