Individual provider Active NPI

Gregg Anthony Severs, D.O.

  • Dermatology Physician
  • Scranton, PA
National Provider Identifier
1205964368
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0S014013 Issued in PA
Practice address
327 N Washington Ave
Suite 200
Scranton, PA 18503-1549
Phone
(570) 961-5522
Fax
(570) 207-5579
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0S014013 PA Primary

Addresses

Primary practice location

327 N Washington Ave
Suite 200
Scranton, PA 18503-1549

Mailing address

327 N Washington Ave
Suite 200
Scranton, PA 18503-1549
Phone (570) 961-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000030 PA Practitioner - Dermatology 0648378877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lackawanna Valley Dermatology Associates LimitedGroup PAC ID 2668459066, 18 clinicians

Practice addresses (Care Compare)

327 N Washington Ave
Scranton, PA 18503-1535
Phone (570) 961-5522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.11 of 100Reported as group
Quality
96.44
Promoting interoperability
100
Improvement activities
40
Cost
67.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision56
Removal of skin lesions901
Removal or shaving of skin growth19
Skin biopsy211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0S014013PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lackawanna Valley Dermatology Associates Limited Dermatology CurrentSince Jul 1, 2007 Accepting new patients

Locations

327 N Washington Ave
Ste 200
Scranton, PA 18503
Phone (570) 961-5522

327 N Washington Ave
Scranton, PA 18503
Phone (570) 342-4246

Interoperability endpoints

  • Direct secure messaging: gsevers@lackaderm.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1205964368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N WASHINGTON AVE",
            "address_2": "SUITE 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031549",
            "telephone_number": "570-961-5522",
            "fax_number": "570-207-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N WASHINGTON AVE",
            "address_2": "SUITE 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031549",
            "telephone_number": "570-961-5522",
            "fax_number": "570-207-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERS",
        "first_name": "GREGG",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "0S014013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.