TODD SUMLER FNP
NPI 1457600298
Nurse Practitioner - Family in Valdosta, GA
About Todd Sumler Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TODD SUMLER FNP (NPI 1457600298) is an individual family provider in Valdosta, Georgia, licensed in Georgia (RN127085) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Todd Sumler Fnp 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tift Regional Medical Center
Acute Care Hospitals · Tifton, GACrisp Regional Hospital
Acute Care Hospitals · Cordele, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 Todd Sumler's NPI number?
The NPI number for Todd Sumler is 1457600298. It was assigned to this individual provider in the NPPES registry on September 7, 2012.
Where is Todd Sumler located?
Todd Sumler practices at 415 Woodrow Wilson Drive, Valdosta, GA 31602. The listed phone number is (229) 253-0780.
What is Todd Sumler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Todd Sumler enrolled in Medicare?
Yes. Todd Sumler 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 Todd Sumler accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Todd Sumler 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 Todd Sumler affiliated with any hospitals?
According to CMS data, Todd Sumler is affiliated with Tift Regional Medical Center and Crisp Regional Hospital.
When was this NPI record last updated?
The NPPES record for Todd Sumler was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.