Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXA SUMME D.O.
NPI 1184026551
Family Medicine in Edgewood, KY

Q: What is Alexa Summe's NPI number?

The NPI number for Alexa Summe is 1184026551. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Q: What is Alexa Summe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexa Summe was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment

20 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017(859) 301-8686(859) 301-8690 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2026, Mar 8, 2021, Sep 14, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Alexa Summe D.o. NPPES

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

ALEXA SUMME D.O. (NPI 1184026551) is an individual family medicine provider in Edgewood, Kentucky, licensed in Kentucky (04152) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2014).

NPPES Registry Identity

NPI1184026551

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALEXA SUMMECredential: D.O.

Location Address20 MEDICAL VILLAGE DRIVEEdgewood, KY 41017-5406

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 341-3383 · Fax (859) 578-2013

Phone(859) 301-8686

Fax(859) 301-8690

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2014

Enumeration DateSeptember 17, 2014

Last NPPES UpdateAugust 24, 20264 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1184026551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 04152

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.

20 MEDICAL VILLAGE DRIVE, Edgewood, KY 41017

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexa Summe D.o. 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 ID3173893492

PECOS Enrollment IDI20170719003186

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 Reassignment

Medicare enrollment records show Alexa Summe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, Inc

3.9 mi

Psychiatry

1360 DOLWICK DRIVE
Erlanger, KY 41018

Reassigned Medicare billing, Kentucky enrollment
946 clinicians in this Medicare group

NPI 1508287640 (859) 344-5555

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 17

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 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 services106 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.

101 services74 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services38 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.

68 services68 patients

Detection test by immunoassay technique for influenza virus 87400

An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.

52 services25 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

39 services32 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

31 services31 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

30 services20 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

29 services19 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

29 services19 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

28 services27 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

27 services24 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

26 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services13 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

26 services24 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

16 services15 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180001

Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County

Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180045

Location4900 Houston RoadFlorence, KY 41042 · Boone County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

100%29 patients5/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%33 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

30%54 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

35%48 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

3 suppliers16 claims37 services$6.24 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$4.24 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 12

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

OB-GYN SPECIALISTS OF NORTHERN KY

Obstetrics & Gynecology

20 MEDICAL VILLAGE DRIVE, SUITE 302
EDGEWOOD, KY 41017

Kenton County (859) 341-2510

DR. VINCENT THOMAS BILOTTA M.D.

Obstetrics & Gynecology

20 MEDICAL VILLAGE DRIVE, SUITE 302
EDGEWOOD, KY 41017

Kenton County (859) 341-2510

WOMENS HEALTH CARE OF NORTHERN KY PSC

Obstetrics & Gynecology

20 MEDICAL VILLAGE DRIVE, SUITE 354
EDGEWOOD, KY 41017

Kenton County (859) 331-4665

VINCENT M LUBRANO MD

Obstetrics & Gynecology

20 MEDICAL VILLAGE DRIVE, SUITE 354
EDGEWOOD, KY 41017

Kenton County (859) 331-4665

DR. ADAM THOMAS CRAWFORD M.D.

Obstetrics & Gynecology

20 MEDICAL VILLAGE DRIVE, SUITE 302
EDGEWOOD, KY 41017

Kenton County (859) 341-2510

KAYLAE B WHISMAN APRN

Nurse Practitioner

20 MEDICAL VILLAGE DRIVE, SUITE 200 B
EDGEWOOD, KY 41017

Kenton County (859) 301-8686

BRITTANY PAIGE WILLMES APRN

Nurse Practitioner

20 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017

Kenton County (859) 344-1512

MS. KARLE ANN WATERS APRN

Nurse Practitioner

20 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017

Kenton County (859) 578-5651

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 Alexa Summe's NPI number?

The NPI number for Alexa Summe is 1184026551. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Alexa Summe located?

Alexa Summe practices at 20 Medical Village Drive, Edgewood, KY 41017. The listed phone number is (859) 301-8686.

What is Alexa Summe's specialty?

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

Is Alexa Summe enrolled in Medicare?

Yes. Alexa Summe 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.

Which organization bills Medicare for Alexa Summe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Summe reassigns Medicare benefits to Summit Medical Group, Inc (Erlanger, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexa Summe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexa Summe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Alexa Summe 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 Alexa Summe affiliated with any hospitals?

According to CMS data, Alexa Summe is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Alexa Summe was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.