DR. KEVIN MATTHEW SUMMERS D.O.
NPI 1124550934
Emergency Medicine in Anderson, SC

Q: What is Kevin Matthew Summers's NPI number?

The NPI number for Kevin Matthew Summers is 1124550934. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Q: What is Kevin Matthew Summers's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since March 30, 2017PECOS Enrolled

800 N FANT ST, ANDERSON, SC 29621(863) 899-6081 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2020, Mar 30, 2017 (2 updates tracked since 2017).

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About Dr. Kevin Matthew Summers D.o. NPPES

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

DR. KEVIN MATTHEW SUMMERS D.O. (NPI 1124550934) is an individual emergency medicine provider in Anderson, South Carolina, licensed in South Carolina (83092) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124550934

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KEVIN MATTHEW SUMMERSCredential: D.O.

Location Address800 N FANT STAnderson, SC 29621-5708

Mailing Address135 Stone Cottage DrAnderson, SC 29621-7671 · (863) 899-6081

Phone(863) 899-6081

Sole ProprietorNo

Enumeration DateMarch 30, 2017

Last NPPES UpdateJune 28, 20222 updates tracked since enumeration

NPPES CertifiedJune 28, 2022

✔ NPI 1124550934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · 83092

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

800 N FANT ST, Anderson, SC 29621

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Matthew Summers D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Matthew Summers reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ich ER Services, LLC

Same address

Emergency Medicine

800 N FANT ST
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
116 clinicians in this Medicare group

NPI 1174002059 (800) 923-2247

Southland Chatuge Emergency Medical Services, LLC

70 mi

Emergency Medicine

110 S MAIN ST
Hiawassee, GA 30546

Reassigned Medicare billing, Georgia enrollment
30 clinicians in this Medicare group

NPI 1881127942 (229) 236-0831

Southland Union Emergency Medical Services, LLC

79 mi

Emergency Medical Services

35 HOSPITAL RD
Blairsville, GA 30512

Reassigned Medicare billing, Georgia enrollment
50 clinicians in this Medicare group

NPI 1164954715 (229) 236-0831

Southland Emergency Medical Services Consolidated, LLC

152 mi

Hospitalist

145 E PEACOCK ST
Cochran, GA 31014

Reassigned Medicare billing, Georgia enrollment
155 clinicians in this Medicare group

NPI 1033464391 (478) 934-6211

Southland Bainbridge Hospitalist Group, LLC

272 mi

Hospitalist

1500 E SHOTWELL ST
Bainbridge, GA 39819

Reassigned Medicare billing, Georgia enrollment
145 clinicians in this Medicare group

NPI 1356735336 (229) 236-0831

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

310 services295 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

128 services125 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.

17 services17 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29621 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

DR. JENNIFER E THOMPSON PHARMD

Pharmacist