1. Home
  2. Directory
  3. Arizona
  4. Avondale
  5. Family Medicine
  6. NPI Profile

DR. STEVEN RUSH SUMPTER DO
NPI 1083828610
Family Medicine in Avondale, AZ

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
10815 W MCDOWELL RD, 201, AVONDALE, AZ 85392(602) 433-0155(623) 433-0185 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Steven Rush Sumpter Do NPPES

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

DR. STEVEN RUSH SUMPTER DO (NPI 1083828610) is an individual family medicine provider in Avondale, Arizona, licensed in Arizona (005287) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1083828610
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEVEN RUSH SUMPTERCredential: DO
Location Address10815 W MCDOWELL RD, 201Avondale, AZ 85392-5007
Mailing Address3815 E Bell Rd Ste 2200Phoenix, AZ 85032-2139 · (602) 633-3848 · Fax (602) 633-3841
Phone(602) 433-0155
Fax(623) 433-0185
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 10, 2007
Last NPPES UpdateApril 22, 2019
✔ NPI 1083828610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 005287✔ Licensed in MI · 5101016961
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.

10815 W MCDOWELL RD, Avondale, AZ 85392
Open in Google Maps ↗

Other Identifiers 1

Medicaid447025AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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. Steven Rush Sumpter Do 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 ID9739233933
PECOS Enrollment IDI20090824000180
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 11

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.
193 services139 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
176 services176 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.
148 services109 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.
135 services135 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
117 services117 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
106 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85392 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers24 claims72 services$5.63 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.53 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$28.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers26 claims26 services$67.84 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$34.45 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 19

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

CHIA-HOW LIU M.D.
Family Medicine
10815 W MCDOWELL RD, SUITE 305
AVONDALE, AZ 85392
Maricopa County (623) 936-3312
MR. STEVEN M PEERY PT, MPT
Physical Therapist
10815 W MCDOWELL RD, SUITE 203
AVONDALE, AZ 85392
Maricopa County (623) 907-4400
DIANNE S CARPENTER PT, DPT
Physical Therapist
10815 W MCDOWELL RD, SUITE 203
AVONDALE, AZ 85392
Maricopa County (623) 907-4400
ARIZONA COLLEGE OF ORTHOPEDIC SURGEONS, PLLC
Orthopaedic Surgery
10815 W MCDOWELL RD, SUITE 303
AVONDALE, AZ 85392
Maricopa County (602) 424-0935
LISA M POORMON P.T.
Physical Medicine & Rehabilitation
10815 W MCDOWELL RD
AVONDALE, AZ 85392
Maricopa County (623) 433-0199
PAINCARE OF ARIZONA, LLC
Clinic/Center (Medical Specialty)
10815 W MCDOWELL RD, SUITE 304
AVONDALE, AZ 85392
Maricopa County (623) 433-0199
PAINCARE HEALTH INSTITUTE LLC
Clinic/Center (Ambulatory Surgical)
10815 W MCDOWELL RD, STE 304
AVONDALE, AZ 85392
Maricopa County (623) 433-0199
PAINCARE HEALTH INSTITUTE LLC
Pain Medicine (Pain Medicine)
10815 W MCDOWELL RD, STE 304
AVONDALE, AZ 85392
Maricopa County (623) 433-0199

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 Steven Sumpter's NPI number?

The NPI number for Steven Sumpter is 1083828610. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Steven Sumpter located?

Steven Sumpter practices at 10815 W Mcdowell Rd 201, Avondale, AZ 85392. The listed phone number is (602) 433-0155.

What is Steven Sumpter's specialty?

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

Is Steven Sumpter enrolled in Medicare?

Yes. Steven Sumpter 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 Steven Sumpter accept?

Health plans from Blue Cross Blue Shield of Arizona list Steven Sumpter 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.

When was this NPI record last updated?

The NPPES record for Steven Sumpter was last updated on April 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.