SYDNEY SUMMERS
NPI 1104398023
Physician Assistant in Orange Park, FL

Active since December 18, 2018PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
1564 KINGSLEY AVE STE 300, ORANGE PARK, FL 32073(904) 264-8801 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2019, Dec 18, 2018 (2 updates tracked since 2018).

About Sydney Summers NPPES

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

SYDNEY SUMMERS (NPI 1104398023) is an individual physician assistant in Orange Park, Florida, licensed in Florida (9111854) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains a secondary practice location in Colleyville.

NPPES Registry Identity

NPI1104398023
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSYDNEY SUMMERS
Location Address1564 KINGSLEY AVE STE 300Orange Park, FL 32073
Mailing Address7855 Argyle Forest Blvd Ste 101Jacksonville, FL 32244-5597
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 18, 2018
Last NPPES UpdateJanuary 10, 20192 updates tracked since enumeration
NPI 1104398023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · 9111854
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
1564 KINGSLEY AVE STE 300, Orange Park, FL 32073

Secondary Practice Location 1

Location 12903 Cottonwood LaneColleyville, TX 76034 · Phone (817) 307-7908

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

Sydney Summers 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 ID2668719022
PECOS Enrollment IDI20200303001682
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 2

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.
20 services20 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Physical Medicine & Rehabilitation (Pain Medicine)
1564 KINGSLEY AVE STE 300
ORANGE PARK, FL 32073
Physician Assistant (Medical)
1564 KINGSLEY AVE STE 300
ORANGE PARK, FL 32073

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 Sydney Summers's NPI number?

The NPI number for Sydney Summers is 1104398023. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Sydney Summers located?

Sydney Summers practices at 1564 Kingsley Ave Ste 300, Orange Park, FL 32073. The listed phone number is (904) 264-8801.

What is Sydney Summers's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sydney Summers enrolled in Medicare?

Yes. Sydney 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 Sydney Summers accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sydney 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 Sydney Summers affiliated with any hospitals?

According to CMS data, Sydney Summers is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Sydney Summers was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.