JASON THOMAS SUMMERLIN PA
NPI 1093495632
Family Medicine in Sacramento, CA

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment
1500 21ST ST, SACRAMENTO, CA 95811(916) 443-3299 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Aug 21, 2023, Jul 19, 2023 (3 updates tracked since 2023).

About Jason Thomas Summerlin Pa NPPES

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

JASON THOMAS SUMMERLIN PA (NPI 1093495632) is an individual family medicine provider in Sacramento, California, licensed in California (PA65811) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093495632
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJASON THOMAS SUMMERLINCredential: PA
Location Address1500 21ST STSacramento, CA 95811-5216
Mailing Address1500 21st StSacramento, CA 95811-5216 · (916) 443-3299
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 19, 2023
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1093495632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · PA65811
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.

1500 21ST ST, Sacramento, CA 95811

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

Jason Thomas Summerlin Pa 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 ID5294198529
PECOS Enrollment IDI20250814004438
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 95811 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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.

Physician Assistant
1500 21ST ST
SACRAMENTO, CA 95811
Marriage & Family Therapist
1500 21ST ST
SACRAMENTO, CA 95811
Nurse Practitioner (Family)
1500 21ST ST
SACRAMENTO, CA 95811
Nurse Practitioner (Primary Care)
1500 21ST ST
SACRAMENTO, CA 95811
Physician Assistant
1500 21ST ST
SACRAMENTO, CA 95811
Social Worker (Clinical)
1500 21ST ST
SACRAMENTO, CA 95811
Social Worker (Clinical)
1500 21ST ST
SACRAMENTO, CA 95811
Dietitian, Registered
1500 21ST ST
SACRAMENTO, CA 95811

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 Jason Summerlin's NPI number?

The NPI number for Jason Summerlin is 1093495632. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Jason Summerlin located?

Jason Summerlin practices at 1500 21st St, Sacramento, CA 95811. The listed phone number is (916) 443-3299.

What is Jason Summerlin's specialty?

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

Is Jason Summerlin enrolled in Medicare?

Yes. Jason Summerlin 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 Jason Summerlin accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Jason Summerlin 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 Jason Summerlin was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.