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MEGAN SUMIGRAY M.D.
NPI 1437509478
Family Medicine in Amsterdam, NY

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
4988 STATE HIGHWAY 30, AMSTERDAM, NY 12010(518) 843-5793(518) 843-6513 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2019, Jun 21, 2016 (2 updates tracked since 2016).

About Megan Sumigray M.d. NPPES

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

MEGAN SUMIGRAY M.D. (NPI 1437509478) is an individual family medicine provider in Amsterdam, New York, licensed in New York (298371) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and maintains a secondary practice location in Schenectady.

NPPES Registry Identity

NPI1437509478
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMEGAN SUMIGRAYCredential: M.D.
Location Address4988 STATE HIGHWAY 30Amsterdam, NY 12010
Mailing Address4988 State Highway 30Amsterdam, NY 12010-7520 · (518) 843-5793 · Fax (518) 843-6513
Phone(518) 843-5793
Fax(518) 843-6513
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
✔ NPI 1437509478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 298371
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4988 STATE HIGHWAY 30, Amsterdam, NY 12010
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Secondary Practice Location 1

Location 1624 McClellan St, Suite 101Schenectady, NY 12304-1020 · Phone (518) 347-5293 · Fax (518) 347-5196

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

Megan Sumigray 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 ID8123355161
PECOS Enrollment IDI20190813003241
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 4

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 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.
87 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
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.
19 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12010 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers30 claims43 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. THOMAS MICHAEL DOOLIN PA-C
Physician Assistant
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 841-3580
DR. JAMSHAID A MINHAS MD
Psychiatry & Neurology (Neurology)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
Montgomery County (518) 428-5119
AMSTERDAM MEMORIAL HOSPITAL
Rehabilitation Unit
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 842-3100
MOHAWK VALLEY MULTISPECIALTY MEDICAL GROUP PLLC
Psychiatry & Neurology (Neurology)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
Montgomery County (518) 428-5119
CHERYL SPARKS ANP
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL HEALTH CENTER
AMSTERDAM, NY 12010
Montgomery County (518) 843-4356
BARBARA LOUCKS ANP
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, AMSTERDM FAMILY HEALTH CENTER
AMSTERDAM, NY 12010
Montgomery County (518) 843-5793
AMSTERDAM MEMORIAL HOSPITAL
Medicare Defined Swing Bed Unit
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 842-3100
KEVIN LAU MD
Radiology (Diagnostic Radiology)
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 841-7203

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 Megan Sumigray's NPI number?

The NPI number for Megan Sumigray is 1437509478. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Megan Sumigray located?

Megan Sumigray practices at 4988 State Highway 30, Amsterdam, NY 12010. The listed phone number is (518) 843-5793.

What is Megan Sumigray's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Megan Sumigray enrolled in Medicare?

Yes. Megan Sumigray 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.

Is Megan Sumigray affiliated with any hospitals?

According to CMS data, Megan Sumigray is affiliated with St Mary's Healthcare and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Megan Sumigray was last updated on July 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.