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

JOHN W SUMMERVILLE DMD
NPI 1265471247
Dentist - General Practice in Essex Jct, VT

Active since June 05, 2006PECOS Enrolled
8 ESSEX WAY, SUITE 100, ESSEX JCT, VT 05452(802) 879-1233(802) 879-3181 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John W Summerville Dmd NPPES

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

JOHN W SUMMERVILLE DMD (NPI 1265471247) is an individual general practice provider in Essex Jct, Vermont and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265471247
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN W SUMMERVILLECredential: DMD
Location Address8 ESSEX WAY, SUITE 100Essex Jct, VT 05452-3425
Mailing Address8 Essex Way, Suite 100Essex Jct, VT 05452-3425 · (802) 879-1233 · Fax (802) 879-3181
Phone(802) 879-1233
Fax(802) 879-3181
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1265471247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8 ESSEX WAY, Essex Jct, VT 05452
Open in Google Maps ↗

Other Identifiers 2

OtherSUMM2443VT · Bcbs
Medicaid0002443VT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John W Summerville Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05452 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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 16

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

JOCELYN N HECHT SMITH DIABETES EDUCATOR
Registered Nurse (Diabetes Educator)
8 ESSEX WAY, ALDER BROOK FAMILY HEALTH
ESSEX, VT 05452
Chittenden County (802) 872-7136
GLORIA VARAGALLO
Counselor (Mental Health)
8 ESSEX WAY, SUITE 101
ESSEX JUNCTION, VT 05452
Chittenden County (802) 288-1001
ALDERBROOK DENTAL ASSOCIATES, P.C.
Dentist (General Practice)
8 ESSEX WAY, SUITE 100
ESSEX JUNCTION, VT 05452
Chittenden County (802) 879-1233
MARNI JOYCE ADHIKARI M.AC, L.AC, DIPL.AC
Acupuncturist
8 ESSEX WAY
ESSEX JUNCTION, VT 05452
Chittenden County (802) 578-7368
DR. DIANE C. RIPPA M.D.
Family Medicine
8 ESSEX WAY, SUITE 201
ESSEX JUNCTION, VT 05452
Chittenden County (802) 872-7100
MRS. CHRISTINE LANGSTON WILKENS LCMHC,CASAC
Counselor (Mental Health)
8 ESSEX WAY, SUITE 101
ESSEX JUNCTION, VT 05452
Chittenden County (802) 288-1001
MRS. LUCY VANHOLLEBEKE FNP
Nurse Practitioner (Family)
8 ESSEX WAY, SUITE 201
ESSEX JUNCTION, VT 05452
Chittenden County (802) 872-7100
DR. DARRYL LAWRENCE KOCH D.C.
Chiropractor
8 ESSEX WAY, STE 204
ESSEX JUNCTION, VT 05452
Chittenden County (802) 872-9788

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 John Summerville's NPI number?

The NPI number for John Summerville is 1265471247. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is John Summerville located?

John Summerville practices at 8 Essex Way Suite 100, Essex Jct, VT 05452. The listed phone number is (802) 879-1233.

What is John Summerville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Summerville enrolled in Medicare?

Yes. John Summerville is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Summerville was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.