ARTHUR R SUMMERLIN III MD
NPI 1477524890
Pathology - Anatomic Pathology & Clinical Pathology in Dothan, AL

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
89.21/100
CMS Quality Rating
1108 ROSS CLARK CIR, DOTHAN, AL 36301(334) 671-1696(334) 794-0721 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arthur R Summerlin Iii Md NPPES

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

ARTHUR R SUMMERLIN III MD (NPI 1477524890) is an individual anatomic pathology & clinical pathology provider in Dothan, Alabama, licensed in Alabama (00012315) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1980).

NPPES Registry Identity

NPI1477524890
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameARTHUR R SUMMERLIN IIICredential: MD
Location Address1108 ROSS CLARK CIRDothan, AL 36301-3022
Mailing Address2015 Alexander DrDothan, AL 36301-3003 · (334) 671-1696 · Fax (334) 794-0721
Fax(334) 794-0721
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1980
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJanuary 14, 2010
NPI 1477524890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in AL · 00012315
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1108 ROSS CLARK CIR, Dothan, AL 36301

Other Identifiers 4

Medicare UPINC75649AL
Medicaid000375713AGA
Medicaid000080006AL
Medicare PIN000080006AL

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

Arthur R Summerlin Iii Md 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 ID2264443399
PECOS Enrollment IDI20101117000564
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 20

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
849 services527 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
589 services92 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
258 services233 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
202 services118 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
178 services121 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
142 services128 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

89.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.43
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.

Anesthesiology
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Psychiatric Unit
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Psychiatry & Neurology (Neurology)
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301

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 Arthur Summerlin's NPI number?

The NPI number for Arthur Summerlin is 1477524890. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Arthur Summerlin located?

Arthur Summerlin practices at 1108 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 671-1696.

What is Arthur Summerlin's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Arthur Summerlin enrolled in Medicare?

Yes. Arthur Summerlin 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 Arthur Summerlin accept?

Health plans from Blue Cross and Blue Shield of Alabama list Arthur Summerlin 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.

When was this NPI record last updated?

The NPPES record for Arthur Summerlin was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.