DR. SUMNER TODD MCALLISTER MD
NPI 1043352206
Family Medicine in Bellingham, WA

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
722 N STATE ST, BELLINGHAM, WA 98225(360) 752-2865 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2021, Oct 2, 2018 (2 updates tracked since 2018).

About Dr. Sumner Todd Mcallister Md NPPES

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

DR. SUMNER TODD MCALLISTER MD (NPI 1043352206) is an individual family medicine provider in Bellingham, Washington, licensed in Washington (MD60841405) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Medical College Of Wisconsin (1995).

NPPES Registry Identity

NPI1043352206
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUMNER TODD MCALLISTERCredential: MD
Location Address722 N STATE STBellingham, WA 98225-5334
Mailing Address722 N State StBellingham, WA 98225-5334 · (360) 752-2865 · Fax (360) 647-8093
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1995
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJune 3, 20212 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
NPI 1043352206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD60841405
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60841405 (WA)
722 N STATE ST, Bellingham, WA 98225

Accepted 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. Sumner Todd Mcallister Md 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 ID8921102971
PECOS Enrollment IDI20180910001604
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 16

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.
216 services126 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
144 services101 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.
144 services97 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
85 services76 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
70 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98225 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Family Medicine
722 N STATE ST
BELLINGHAM, WA 98225
Family Medicine
722 N STATE ST
BELLINGHAM, WA 98225
Family Medicine
722 N STATE ST
BELLINGHAM, WA 98225
Family Medicine
722 N STATE ST
BELLINGHAM, WA 98225
Family Medicine
722 N STATE ST
BELLINGHAM, WA 98225
Family Medicine
722 N STATE ST
BELLINGHAM, WA 98225
Family Medicine
722 N STATE ST
BELLINGHAM, WA 98225
Family Medicine
722 N STATE ST
BELLINGHAM, WA 98225

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 Sumner Mcallister's NPI number?

The NPI number for Sumner Mcallister is 1043352206. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Sumner Mcallister located?

Sumner Mcallister practices at 722 N State St, Bellingham, WA 98225. The listed phone number is (360) 752-2865.

What is Sumner Mcallister's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sumner Mcallister enrolled in Medicare?

Yes. Sumner Mcallister 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 Sumner Mcallister accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sumner Mcallister 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 Sumner Mcallister affiliated with any hospitals?

According to CMS data, Sumner Mcallister is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Sumner Mcallister was last updated on June 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.