DR. CARISSA ANNE SUMMA D.O.
NPI 1376614669
Dermatology in Estero, FL
About Dr. Carissa Anne Summa D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARISSA ANNE SUMMA D.O. (NPI 1376614669) is an individual dermatology provider in Estero, Florida, licensed in Florida (OS17127) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2002).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Dr. Carissa Anne Summa D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Carissa Summa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Estero, FL 33928
- Reassigned Medicare billing, Florida enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33928 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carissa Summa's NPI number?
The NPI number for Carissa Summa is 1376614669. It was assigned to this individual provider in the NPPES registry on November 10, 2006.
Where is Carissa Summa located?
Carissa Summa practices at 10200 Arcos Ave Ste 201, Estero, FL 33928. The listed phone number is (239) 390-3376.
What is Carissa Summa's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Carissa Summa enrolled in Medicare?
Yes. Carissa Summa 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 organization bills Medicare for Carissa Summa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Summa reassigns Medicare benefits to Estero Dermatology & Skin Surgery Center, LLC (Estero, FL). The 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 Carissa Summa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carissa Summa accept?
Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Carissa Summa 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 Carissa Summa was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Carissa Anne Summa, D.O. · NPI 1376614669
Dermatology physician in Estero, Florida. Individual provider, active in the CMS NPPES registry since November 10, 2006.
## Identity
- **NPI:** 1376614669 (Entity type: Individual)
- **Enumerated:** November 10, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** OS17127 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 10200 ARCOS AVE STE 201, Estero, FL 33928-3529
- **Phone:** (239) 390-3376 · **Fax:** (239) 333-0474
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Estero Dermatology & Skin Surgery Center, LLC (NPI 1568481901, Estero, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2002
## Record status
- **NPPES last updated:** September 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376614669) · Data from the CMS NPPES public registry.