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COLLEEN MARIE SOMMER PA-C
NPI 1386096980
Physician Assistant in Kansas City, KS

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BLVD LEVEL 3 OTOLARYNGOLOGY, KANSAS CITY, KS 66160(913) 588-7601 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colleen Marie Sommer Pa-c NPPES

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

COLLEEN MARIE SOMMER PA-C (NPI 1386096980) is an individual physician assistant in Kansas City, Kansas, licensed in Kansas (15-01896) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386096980
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOLLEEN MARIE SOMMERCredential: PA-C
Location Address3901 RAINBOW BLVD LEVEL 3 OTOLARYNGOLOGYKansas City, KS 66160-0001
Mailing Address1156 County Line Rd # 604Kansas City, KS 66103-2374 · (660) 349-5164
Phone(913) 588-7601
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 7, 2016
Last NPPES UpdateOctober 18, 2019
✔ NPI 1386096980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KS · 15-01896
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3901 RAINBOW BLVD LEVEL 3 OTOLARYNGOLOGY, Kansas City, KS 66160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company, UnitedHealthcare.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

Colleen Marie Sommer Pa-c 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 ID2264727726
PECOS Enrollment IDI20160823000643
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
103 services81 patients
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.
30 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
2 suppliers34 claims4,842 services$2.38 avg. paid by Medicare
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each A7508
DME-Orthotic Devices · category DF000N
2 suppliers20 claims3,000 services$2.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Colleen Sommer's NPI number?

The NPI number for Colleen Sommer is 1386096980. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Colleen Sommer located?

Colleen Sommer practices at 3901 Rainbow Blvd Level 3 Otolaryngology, Kansas City, KS 66160. The listed phone number is (913) 588-7601.

What is Colleen Sommer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Colleen Sommer enrolled in Medicare?

Yes. Colleen 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.

What insurance does Colleen Sommer accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Colleen Sommer 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 Colleen Sommer affiliated with any hospitals?

According to CMS data, Colleen Sommer is affiliated with University Of Kansas Health System - St Francis Campus and University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Colleen Sommer was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.