ANTHONY SUMPTER
NPI 1346714730
Psychologist - Clinical in Cincinnati, OH

Q: What is Anthony Sumpter's NPI number?

The NPI number for Anthony Sumpter is 1346714730. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Q: What is Anthony Sumpter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Sumpter was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since January 18, 2019PECOS EnrolledAccepts Medicare Assignment

2135 DANA AVE STE 400, CINCINNATI, OH 45207(513) 585-9500(513) 585-9505 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Jan 18, 2019 (2 updates tracked since 2019).

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About Anthony Sumpter NPPES

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

ANTHONY SUMPTER (NPI 1346714730) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (P.08614) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346714730

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameANTHONY SUMPTER

Location Address2135 DANA AVE STE 400Cincinnati, OH 45207-1327

Mailing Address2135 Dana Ave Ste 400Cincinnati, OH 45207-1327 · (513) 585-9500 · Fax (513) 585-9505

Phone(513) 585-9500

Fax(513) 585-9505

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 18, 2019

Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1346714730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · P.08614

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2135 DANA AVE STE 400, Cincinnati, OH 45207

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Secondary Practice Location 1

Location 1117 Health Sciences Bldg 3640 Colonel Glenn HwyDayton, OH 45435-0001 · Phone (937) 775-3458

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual 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

Anthony Sumpter 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 ID2264964204

PECOS Enrollment IDI20241016001548

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 45207 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 3

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

JEREMIAH ALAN DAVIS

Family Medicine

2135 DANA AVE STE 400
CINCINNATI, OH 45207

Hamilton County (513) 585-9500

ASHLEY MALLORY MD

Family Medicine

2135 DANA AVE STE 400
CINCINNATI, OH 45207

Hamilton County (513) 585-9500

MRS. SHANTE ASKEW CNP

Nurse Practitioner (Family)

2135 DANA AVE STE 400
CINCINNATI, OH 45207

Hamilton County (513) 585-9500

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 Anthony Sumpter's NPI number?

The NPI number for Anthony Sumpter is 1346714730. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Anthony Sumpter located?

Anthony Sumpter practices at 2135 Dana Ave Ste 400, Cincinnati, OH 45207. The listed phone number is (513) 585-9500.

What is Anthony Sumpter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Anthony Sumpter enrolled in Medicare?

Yes. Anthony Sumpter 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 Anthony Sumpter accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Anthony Sumpter 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.

When was this NPI record last updated?

The NPPES record for Anthony Sumpter was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.