ANDREW J SUMMERVILLE P.A.
NPI 1447685102
Physician Assistant in Saint Joseph, MI

Active since September 12, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 985-4632(269) 985-4623 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew J Summerville P.a. NPPES

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

ANDREW J SUMMERVILLE P.A. (NPI 1447685102) is an individual physician assistant in Saint Joseph, Michigan, licensed in Michigan (5601006750) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1447685102
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW J SUMMERVILLECredential: P.A.
Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112
Mailing Address1234 Napier AveSaint Joseph, MI 49085-2112 · (269) 985-4632 · Fax (269) 985-4623
Fax(269) 985-4623
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 12, 2013
Last NPPES UpdateJanuary 30, 2015
NPI 1447685102 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 MI · 5601006750
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.
1234 NAPIER AVE, Saint Joseph, MI 49085

Accepted 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

Andrew J Summerville P.a. 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 ID7618103599
PECOS Enrollment IDI20131125000432
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Occupational Therapist
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Radiology (Diagnostic Radiology)
1234 NAPIER AVE
ST JOSEPH, MI 49085
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Emergency Medicine
1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085

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 Andrew Summerville's NPI number?

The NPI number for Andrew Summerville is 1447685102. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Andrew Summerville located?

Andrew Summerville practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 985-4632.

What is Andrew Summerville's specialty?

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

Is Andrew Summerville enrolled in Medicare?

Yes. Andrew Summerville 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 Andrew Summerville accept?

Health plans from Priority Health list Andrew Summerville 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 Andrew Summerville affiliated with any hospitals?

According to CMS data, Andrew Summerville is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Summerville was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.