MARK A SEVERTSON M.D.
NPI 1861499576
Otolaryngology in Louisville, KY

Q: What is Mark Severtson's NPI number?

The NPI number for Mark Severtson is 1861499576. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Mark Severtson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Severtson was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment

97.42/100

CMS Quality Rating

6420 DUTCHMANS PKWY, 380, LOUISVILLE, KY 40205(502) 894-8441(502) 894-4453 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Jan 12, 2017 (2 updates tracked since 2017).

On this page

About Mark A Severtson M.d. NPPES

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

MARK A SEVERTSON M.D. (NPI 1861499576) is an individual otolaryngology provider in Louisville, Kentucky, licensed in Kentucky (34466) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Columbia University College Of Physicians And Surgeons (1992).

NPPES Registry Identity

NPI1861499576

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameMARK A SEVERTSONCredential: M.D.

Location Address6420 DUTCHMANS PKWY, 380Louisville, KY 40205-3372

Mailing Address401 E Chestnut St Unit 170Louisville, KY 40202-5701 · (502) 583-3687 · Fax (502) 588-7840

Phone(502) 894-8441

Fax(502) 894-4453

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1992

Enumeration DateJuly 7, 2005

Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1861499576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in KY · 34466✔ Licensed in IN · 01049174

Definition

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.

Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 01049174 (IN), 34466 (KY)

6420 DUTCHMANS PKWY, Louisville, KY 40205

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Other Identifiers 4

Other000000045447KY · Anthem Facet Number

Other040012436KY · Rail Road Medicare

Medicaid64344666KY

Medicaid200175990AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Mark A Severtson 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 ID5395884464

PECOS Enrollment IDI20091229000537, I20100224000738

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.

Areas of Expertise CMS Part B claims 13

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

1,480 services28 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

440 services15 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

228 services177 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.

217 services158 patients

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.

82 services66 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

70 services47 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

54 services43 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

53 services49 patients

Complex removal of skin debris and drainage of mastoid cavity 69222

This procedure involves the careful removal of unwanted skin debris and the draining of fluid from the mastoid cavity, which is located in the ear. It helps alleviate discomfort and prevent potential complications. It's performed by a specialist using precise medical tools.

46 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

Obtaining ear cartilage for grafting 21235

Obtaining ear cartilage for grafting involves a minor surgical procedure. A small piece of cartilage is taken from your ear, usually from a hidden area. This cartilage can then be used to repair or reconstruct other parts of the body. The procedure is generally safe with minimal discomfort.

22 services19 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180141

Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

94.85

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

78%221 patients4/55-star benchmark: 93%

Cervical Cancer Screening

75%243 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

79%400 patients4/55-star benchmark: 87%

Colorectal Cancer Screening

97%461 patients5/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

39%2,386 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%349 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

17%823 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%817 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 357 patients

Patients screened: 98% · 357 patients

90%31 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JAMES P DONOVAN MD

Internal Medicine (Cardiovascular Disease)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

JOSEPH A LASH MD

Internal Medicine (Cardiovascular Disease)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

JOHN S HARRIS MD

Internal Medicine (Cardiovascular Disease)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

STACEY LYNN ZAPRZALKA

Nurse Practitioner (Family)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

DIVYESH R BHAKTA MD

Internal Medicine (Interventional Cardiology)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

DR. MARION D EYRE MD

Otolaryngology

6420 DUTCHMANS PKWY, SUITE 380
LOUISVILLE, KY 40205

Jefferson County (502) 894-9753

JANET LYNN SMITH MD

Internal Medicine (Cardiovascular Disease)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

CRISTAL L POLLAK APRN

Nurse Practitioner (Family)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

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 Mark Severtson's NPI number?

The NPI number for Mark Severtson is 1861499576. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Mark Severtson located?

Mark Severtson practices at 6420 Dutchmans Pkwy 380, Louisville, KY 40205. The listed phone number is (502) 894-8441.

What is Mark Severtson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Severtson enrolled in Medicare?

Yes. Mark Severtson 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.

What insurance does Mark Severtson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mark Severtson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Severtson affiliated with any hospitals?

According to CMS data, Mark Severtson is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Mark Severtson was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.