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ANDREW D SUMNER MD
NPI 1114975737
Internal Medicine - Cardiovascular Disease in Allentown, PA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
1250 S CEDAR CREST BLVD, SUITE 300, ALLENTOWN, PA 18103(610) 402-3110 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Andrew D Sumner Md NPPES

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

ANDREW D SUMNER MD (NPI 1114975737) is an individual cardiovascular disease provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD049881L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Pennsylvania State University College Of Medicine (1990).

NPPES Registry Identity

NPI1114975737
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameANDREW D SUMNERCredential: MD
Location Address1250 S CEDAR CREST BLVD, SUITE 300Allentown, PA 18103-6224
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Phone(610) 402-3110
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1990
Enumeration DateMay 5, 2006
Last NPPES UpdateNovember 24, 2015
✔ NPI 1114975737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD049881L
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1250 S CEDAR CREST BLVD, Allentown, PA 18103
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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

Andrew D Sumner 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 ID8729085683
PECOS Enrollment IDI20061107000266
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 9

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.
496 services398 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
301 services288 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.
64 services64 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.
44 services43 patients
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.
43 services41 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

JESSICA MARY BOEHMLER MD
Internal Medicine (Critical Care Medicine)
1250 S CEDAR CREST BLVD, SUITE 205
ALLENTOWN, PA 18103
Lehigh County (610) 439-8856
LEHIGH VALLEY PHYSICIAN GROUP
Psychiatry & Neurology (Psychiatry)
1250 S CEDAR CREST BLVD, SUITE 410
ALLENTOWN, PA 18103
Lehigh County (610) 402-3500
VSAS ORTHOPAEDICS PC
Occupational Therapist
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103
Lehigh County (610) 435-1003
MISS LINDSEY R. REYES PA-C
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD, STE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-3110
ANDREW BERNER CRNP
Nurse Practitioner (Family)
1250 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-2273
JAMES A BURKE MD
Internal Medicine (Interventional Cardiology)
1250 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-3110
MR. JAMES BAGLEY PA-C
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD, STE 205
ALLENTOWN, PA 18103
Lehigh County (610) 439-8856
ADAM B. EDWARDS MD
Psychiatry & Neurology (Neurocritical Care)
1250 S CEDAR CREST BLVD, SUITE 405
ALLENTOWN, PA 18103
Lehigh County (610) 402-8420

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 Andrew Sumner's NPI number?

The NPI number for Andrew Sumner is 1114975737. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Andrew Sumner located?

Andrew Sumner practices at 1250 S Cedar Crest Blvd Suite 300, Allentown, PA 18103. The listed phone number is (610) 402-3110.

What is Andrew Sumner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Andrew Sumner enrolled in Medicare?

Yes. Andrew Sumner 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.

Is Andrew Sumner affiliated with any hospitals?

According to CMS data, Andrew Sumner is affiliated with Schuylkill Medical Center - South Jackson Street, St Luke's Hospital Bethlehem, Lehigh Valley Hospital and Lehigh Valley Hospital - Hazleton.

When was this NPI record last updated?

The NPPES record for Andrew Sumner was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.