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DR. DONALD CHARLES SUMMERLIN DDS
NPI 1013086073
Dentist - General Practice in Carbondale, IL

Active since November 06, 2006PECOS Enrolled
1240 CEDAR CT, CARBONDALE, IL 62901(618) 549-7621(618) 549-8570 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donald Charles Summerlin Dds NPPES

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

DR. DONALD CHARLES SUMMERLIN DDS (NPI 1013086073) is an individual general practice provider in Carbondale, Illinois and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013086073
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DONALD CHARLES SUMMERLINCredential: DDS
Location Address1240 CEDAR CTCarbondale, IL 62901-5334
Mailing Address1240 Cedar CtCarbondale, IL 62901-5334 · (618) 549-7621 · Fax (618) 549-8570
Phone(618) 549-7621
Fax(618) 549-8570
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013086073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1240 CEDAR CT, Carbondale, IL 62901
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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)

Dr. Donald Charles Summerlin Dds 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 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

RHIANNON KURUPPU, DMD LLC
Dentist (General Practice)
1240 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 549-7621
RHIANNON MARIE KURUPPU DMD
Dentist
1240 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 549-7621

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 Donald Summerlin's NPI number?

The NPI number for Donald Summerlin is 1013086073. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Donald Summerlin located?

Donald Summerlin practices at 1240 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 549-7621.

What is Donald Summerlin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Donald Summerlin enrolled in Medicare?

Yes. Donald Summerlin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donald Summerlin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.