DR. STEPHEN JAMES SUMMERS M.D.
NPI 1023332228
Urology in Salt Lake City, UT

Q: What is Stephen Summers's NPI number?

The NPI number for Stephen Summers is 1023332228. It was assigned to this individual provider in the NPPES registry on March 17, 2010.

Q: What is Stephen Summers's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Summers was last updated on November 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 17, 2010PECOS EnrolledAccepts Medicare Assignment

92.06/100

CMS Quality Rating

30 N 1900 E, RM 3B420, SALT LAKE CITY, UT 84132(801) 213-2700(801) 585-2891 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2021, Jan 11, 2017 (2 updates tracked since 2017).

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About Dr. Stephen James Summers M.d. NPPES

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

DR. STEPHEN JAMES SUMMERS M.D. (NPI 1023332228) is an individual urology provider in Salt Lake City, Utah, licensed in Utah (8156918-1205) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Medical College Of Wisconsin (2010).

NPPES Registry Identity

NPI1023332228

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. STEPHEN JAMES SUMMERSCredential: M.D.

Location Address30 N 1900 E, RM 3B420Salt Lake City, UT 84132-2115

Mailing Address30 N 1900 E, Rm 3b420Salt Lake City, UT 84132-2115 · (801) 213-2700 · Fax (801) 585-2891

Phone(801) 213-2700

Fax(801) 585-2891

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2010

Enumeration DateMarch 17, 2010

Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration

NPPES CertifiedNovember 23, 2021

✔ NPI 1023332228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in UT · 8156918-1205

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

30 N 1900 E, Salt Lake City, UT 84132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Dr. Stephen James Summers 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 ID4486877701

PECOS Enrollment IDI20150716003129

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 17

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 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.

66 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

60 services57 patients

Other procedure on male genital system 55899

This procedure refers to a variety of medical interventions on the male reproductive system. It could be diagnostic, therapeutic, or preventive. It's done to maintain or improve reproductive health. It's always performed by a skilled medical professional.

29 services29 patients

Needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51785

This procedure involves inserting a small needle into muscles near the openings of your body's waste removal systems. The needle records the electrical activity of these muscles, providing essential information about their function. This is a safe, routine process.

26 services26 patients

Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study 95870

This procedure, known as an electromyography (EMG), involves using a needle to measure electrical activity in your muscles. It can help diagnose conditions affecting nerves or muscles. It's a limited study, meaning only specific muscles in the arm, leg, trunk, or head are examined.

25 services25 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

23 services21 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

20 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

19 services19 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.

19 services19 patients

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

17 services17 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

15 services15 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

12 services12 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

11 services11 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

92.06/100

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

Scored as part of a group practice

Quality

85.57

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers74 claims10,420 services$5.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. ANNE WIERMAN ESTARES D.O.

Anesthesiology

30 N 1900 E, RM 4C104
SALT LAKE CITY, UT 84132

Salt Lake County (719) 314-5254

DR. JEFFREY DAVID DILLON M.D.

Anesthesiology

30 N 1900 E, ROOM 3C444
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-6393

QUINTON ALLRED PA-C

Physician Assistant (Medical)

30 N 1900 E
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7822

JEREMY ROYLE STODDART MD

Psychiatry & Neurology (Psychiatry)

30 N 1900 E, UNIVERSITY HOSPITAL,
SLC, UT 84132

Salt Lake County (801) 581-2121

CHRISTINA MARIE DERBIDGE PHD

Psychologist (Clinical)

30 N 1900 E, ROOM SOM 1-B620
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-6228

ANDRIA HOLMES HOLT RN

Nurse Practitioner (Obstetrics & Gynecology)

30 N 1900 E
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7647

ANDY NGUYEN

Internal Medicine

30 N 1900 E, SOM4C104
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7899

MELISSA REQUIST

Student in an Organized Health Care Education/Training Program

30 N 1900 E
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7498

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 Stephen Summers's NPI number?

The NPI number for Stephen Summers is 1023332228. It was assigned to this individual provider in the NPPES registry on March 17, 2010.

Where is Stephen Summers located?

Stephen Summers practices at 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132. The listed phone number is (801) 213-2700.

What is Stephen Summers's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stephen Summers enrolled in Medicare?

Yes. Stephen Summers 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 Stephen Summers accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Stephen Summers 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 Stephen Summers affiliated with any hospitals?

According to CMS data, Stephen Summers is affiliated with Eastern Idaho Regional Medical Center and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Stephen Summers was last updated on November 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.