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MATTHIAS SOMMER M.D
NPI 1295046241
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since June 24, 2010PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
100 E LEHIGH AVE, PHILADELPHIA, PA 19125(215) 707-8496 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthias Sommer M.d NPPES

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

MATTHIAS SOMMER M.D (NPI 1295046241) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD454153) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1295046241
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMATTHIAS SOMMERCredential: M.D
Location Address100 E LEHIGH AVEPhiladelphia, PA 19125-1012
Mailing Address3500 N Broad St Rm 1aPhiladelphia, PA 19140-4106 · (215) 707-3411
Phone(215) 707-8496
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 24, 2010
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1295046241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD454153
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
100 E LEHIGH AVE, Philadelphia, PA 19125
Open in Google Maps ↗

Secondary Practice Location 1

Location 13400 Spruce StPhiladelphia, PA 19104-4238 · Phone (215) 662-7119 · Fax (215) 662-7200

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

Matthias Sommer M.d 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 ID2163737784
PECOS Enrollment IDI20150811005875
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

3

Medicare enrollment records show Matthias Sommer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Temple Faculty Practice Plan, Inc
Same address
Psychologist
100 E LEHIGH AVE STE 105
Philadelphia, PA 19125
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1003399783 (215) 707-8496
University Of Penn-Medical Group
3.3 mi
Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1669860854 (215) 829-2345
Pennsylvania Department Of Human Services
65 mi
Psychiatric Hospital
160 MAIN ST
Wernersville, PA 19565
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 27 clinicians in this Medicare group
NPI 1497739973 (610) 670-4111

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

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.

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.
231 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19125 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

ROBERT ERIC SIMONS
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1200
EILEEN ZHOU MD
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1200
MADHULATHA PAUL MD
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE, MAB BLDG STE 105
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-8496
HARGROW DEXTER BARBER DDS
Dentist (Oral and Maxillofacial Surgery)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-3613
GABRIEL SANCHEZ-ALDANA JR. M.D.
Family Medicine
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1866
TEMPLE PHYSICIANS INC.
Internal Medicine
100 E LEHIGH AVE, CHC - 1
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1866
TEMPLE PHYSICIANS INC.
Internal Medicine (Cardiovascular Disease)
100 E LEHIGH AVE, MAB 110
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-1136
DR. RUBY HASSANYEH BARGHINI M.D.
Psychiatry & Neurology (Psychiatry)
100 E LEHIGH AVE
PHILADELPHIA, PA 19125
Philadelphia County (215) 707-8496

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 Matthias Sommer's NPI number?

The NPI number for Matthias Sommer is 1295046241. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Matthias Sommer located?

Matthias Sommer practices at 100 E Lehigh Ave, Philadelphia, PA 19125. The listed phone number is (215) 707-8496.

What is Matthias Sommer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Matthias Sommer enrolled in Medicare?

Yes. Matthias Sommer 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 Matthias Sommer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthias Sommer reassigns Medicare benefits to 3 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA), University Of Penn-Medical Group (Philadelphia, PA) and Pennsylvania Department Of Human Services (Wernersville, PA). 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 Matthias Sommer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matthias Sommer affiliated with any hospitals?

According to CMS data, Matthias Sommer is affiliated with Temple University Hospital and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Matthias Sommer was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.