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KEVIN S SUMSION MD
NPI 1255317053
Obstetrics & Gynecology in Layton, UT

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
2121 N 1700 W, LAYTON, UT 84041(801) 773-4840(801) 525-8151 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin S Sumsion Md NPPES

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

KEVIN S SUMSION MD (NPI 1255317053) is an individual obstetrics & gynecology provider in Layton, Utah, licensed in Utah (1862111205) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-davis, and is a graduate of George Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1255317053
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKEVIN S SUMSIONCredential: MD
Location Address2121 N 1700 WLayton, UT 84041-8803
Mailing AddressPo Box 337Layton, UT 84041-0337 · (801) 773-4840 · Fax (801) 525-8151
Phone(801) 773-4840
Fax(801) 525-8151
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1990
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 23, 2012
✔ NPI 1255317053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in UT · 1862111205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2121 N 1700 W, Layton, UT 84041
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINF88878
Medicare ID-Type Unspecified00571357UT
MedicaidD0570UT
Medicare ID-Type Unspecified005536858UT
Medicare ID-Type Unspecified002241037UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Kevin S Sumsion 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 ID2769383199
PECOS Enrollment IDI20040117000231
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 11

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.
41 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services19 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
18 services16 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
18 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
17 services17 patients
Bacterial urine culture 87088
A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460041
Location1600 West Antelope DriveLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84041 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

KHALDOUN M AL-RAYESS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840
ASPEN RIDGE PHYSICAL THERAPY, LLC
Specialist
2121 N 1700 W, SUITE A
LAYTON, UT 84041
Davis County (801) 773-1350
ROBERT L MELLOR MD
Otolaryngology
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840
DR. ANN LINGARD PHARMD
Pharmacy (Community/Retail Pharmacy)
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-5666
M&B HOMECARE INC.
Home Health
2121 N 1700 W, SUITE A
LAYTON, UT 84041
Davis County (801) 825-2081
MR. MITCH SMEDING WANGSGARD
Audiologist
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840
BRIDGER BARRETT BENTLEY PA
Physician Assistant
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840
NORMAN C. BOS M.D.
Orthopaedic Surgery
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840

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 Kevin Sumsion's NPI number?

The NPI number for Kevin Sumsion is 1255317053. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Kevin Sumsion located?

Kevin Sumsion practices at 2121 N 1700 W, Layton, UT 84041. The listed phone number is (801) 773-4840.

What is Kevin Sumsion's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kevin Sumsion enrolled in Medicare?

Yes. Kevin Sumsion 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.

What insurance does Kevin Sumsion accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kevin Sumsion 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 Kevin Sumsion affiliated with any hospitals?

According to CMS data, Kevin Sumsion is affiliated with Holy Cross Hospital-Davis.

When was this NPI record last updated?

The NPPES record for Kevin Sumsion was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.