DR. DUSTIN MICHAEL SUMMERS PSYD
NPI 1447526447
Psychologist - Clinical in Plainfield, IL

Q: What is Dustin Summers's NPI number?

The NPI number for Dustin Summers is 1447526447. It was assigned to this individual provider in the NPPES registry on March 24, 2012.

Q: What is Dustin Summers's specialty?

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

Q: Is Dustin Summers enrolled in Medicare?

No. Dustin Summers has opted out of Medicare through March 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dustin Summers was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 24, 2012Opted out of Medicare · through Mar 6, 2027

24012 W RENWICK RD, 204A, PLAINFIELD, IL 60544(815) 676-4688(815) 676-4498 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Dustin Michael Summers Psyd NPPES

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

DR. DUSTIN MICHAEL SUMMERS PSYD (NPI 1447526447) is an individual clinical provider in Plainfield, Illinois, licensed in Illinois (071009417) and active in the NPI registry since March 2012. He has opted out of Medicare through March 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447526447

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DUSTIN MICHAEL SUMMERSCredential: PSYD

Location Address24012 W RENWICK RD, 204APlainfield, IL 60544-8731

Mailing Address24012 W Renwick Rd, 204aPlainfield, IL 60544-8731 · (815) 676-4688 · Fax (815) 676-4498

Phone(815) 676-4688

Fax(815) 676-4498

Sole ProprietorNo

Enumeration DateMarch 24, 2012

Last NPPES UpdateNovember 29, 2016

✔ NPI 1447526447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071009417

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.

24012 W RENWICK RD, Plainfield, IL 60544

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dustin Michael Summers Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2017 through March 6, 2027.

Opt-Out Effective DateMarch 6, 2017

Opt-Out In Effect ThroughMarch 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60544 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 12

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

TERESA PECHEREK-ROGERS MD

Family Medicine

24012 W RENWICK RD, SUITE 14
PLAINFIELD, IL 60544

Will County (815) 436-9393

MEGHAN G CARINGELLA

Social Worker (Clinical)

24012 W RENWICK RD
PLAINFIELD, IL 60544

Will County (815) 676-4888

SAI PSYCHIATRY SERVICES, LTD

Psychiatry & Neurology (Psychiatry)

24012 W RENWICK RD, SUIT 204B
PLAINFIELD, IL 60544

Will County (630) 839-9334

MICHELLE PETERSON PT

Physical Therapist

24012 W RENWICK RD, SUITE 11
PLAINFIELD, IL 60544

Will County (815) 577-2488

RATON COLFAX MEDICAL SERVICES PC

Surgery

24012 W RENWICK RD, SUITE 108
PLAINFIELD, IL 60544

Will County (815) 230-3100

HEIMER COUNSELING

Community/Behavioral Health

24012 W RENWICK RD
PLAINFIELD, IL 60544

Will County (815) 676-4688

PLAINFIELD FAMILY CLINIC, LLC

Internal Medicine

24012 W RENWICK RD, SUITE 108
PLAINFIELD, IL 60544

Will County (815) 230-3100

LAUREN HARRIS PSYD

Psychologist (Clinical)

24012 W RENWICK RD, UNIT 204A
PLAINFIELD, IL 60544

Will County (815) 676-4688

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 Dustin Summers's NPI number?

The NPI number for Dustin Summers is 1447526447. It was assigned to this individual provider in the NPPES registry on March 24, 2012.

Where is Dustin Summers located?

Dustin Summers practices at 24012 W Renwick Rd 204A, Plainfield, IL 60544. The listed phone number is (815) 676-4688.

What is Dustin Summers's specialty?

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

Is Dustin Summers enrolled in Medicare?

No. Dustin Summers has opted out of Medicare through March 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dustin Summers was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.