DR. LEWIS TYLER SUMNER D.M.D.
NPI 1225011323
Dentist - Oral and Maxillofacial Surgery in Anderson, SC

Active since November 22, 2005Opted out of Medicare · through Oct 12, 2027
1209 ELLA ST, ANDERSON, SC 29621(864) 226-7503(864) 225-4937 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lewis Tyler Sumner D.m.d. NPPES

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

DR. LEWIS TYLER SUMNER D.M.D. (NPI 1225011323) is an individual oral and maxillofacial surgery provider in Anderson, South Carolina, licensed in South Carolina (3483) and active in the NPI registry since November 2005. He has opted out of Medicare through October 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225011323
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LEWIS TYLER SUMNERCredential: D.M.D.
Location Address1209 ELLA STAnderson, SC 29621-4811
Mailing Address1209 Ella StAnderson, SC 29621-4811 · (864) 226-7503 · Fax (864) 225-4937
Fax(864) 225-4937
Sole ProprietorYes
Enumeration DateNovember 22, 2005
Last NPPES UpdateOctober 24, 2013
NPI 1225011323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in SC · 3483
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1209 ELLA ST, Anderson, SC 29621

Other Identifiers 3

Medicare UPINU86861SC
Medicare ID-Type UnspecifiedU868610281SC
MedicaidZX3483SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Lewis Tyler Sumner D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 12, 2023 through October 12, 2027.

Opt-Out Effective DateOctober 12, 2023
Opt-Out In Effect ThroughOctober 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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 Lewis Sumner's NPI number?

The NPI number for Lewis Sumner is 1225011323. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Lewis Sumner located?

Lewis Sumner practices at 1209 Ella St, Anderson, SC 29621. The listed phone number is (864) 226-7503.

What is Lewis Sumner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Lewis Sumner enrolled in Medicare?

No. Lewis Sumner has opted out of Medicare through October 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lewis Sumner was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.