MATTHEW SUMICAD
NPI 1194388512
Emergency Medicine in Bay Shore, NY

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3970 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2022, Apr 22, 2019 (2 updates tracked since 2019).

About Matthew Sumicad NPPES

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

MATTHEW SUMICAD (NPI 1194388512) is an individual emergency medicine provider in Bay Shore, New York, licensed in New Jersey (25MA11514700) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Rutgers New Jersey Medical School (2019).

NPPES Registry Identity

NPI1194388512
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW SUMICAD
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1194388512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NJ · 25MA11514700
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.
301 E MAIN ST, Bay Shore, NY 11706

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

Matthew Sumicad 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 ID7911234349
PECOS Enrollment IDI20220811001517
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

2

Medicare enrollment records show Matthew Sumicad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
4 VALLEY HEALTH PLZ
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 78 clinicians in this Medicare group
Emergency Medicine
1140 ROUTE 72 W
Manahawkin, NJ 08050
  • Reassigned Medicare billing, New Jersey enrollment
  • 239 clinicians in this Medicare group

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.
554 services544 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.
396 services386 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.
71 services69 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
60 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Hackensack Meridian Health Pascack Valley Medical

Acute Care Hospitals · Westwood, NJ
4/5 CMS rating
OwnershipProprietary
CMS Certification Number310130
Location250 Old Hook RoadWestwood, NJ 07675 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706

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 Matthew Sumicad's NPI number?

The NPI number for Matthew Sumicad is 1194388512. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Matthew Sumicad located?

Matthew Sumicad practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3970.

What is Matthew Sumicad's specialty?

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

Is Matthew Sumicad enrolled in Medicare?

Yes. Matthew Sumicad 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 organizations bill Medicare for Matthew Sumicad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Sumicad reassigns Medicare benefits to 2 organizations: Valley Emergency Assoc PA (Paramus, NJ) and Barron Emergency Physicians LLC (Manahawkin, NJ). Each 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 Matthew Sumicad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthew Sumicad affiliated with any hospitals?

According to CMS data, Matthew Sumicad is affiliated with Valley Hospital and Hackensack Meridian Health Pascack Valley Medical.

When was this NPI record last updated?

The NPPES record for Matthew Sumicad was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.