DR. SHANE O SUMMERS M.D.
NPI 1497751671
Family Medicine in Hickory, NC

Q: What is Shane Summers's NPI number?

The NPI number for Shane Summers is 1497751671. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Shane Summers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Summers was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 22, 2005PECOS EnrolledAccepts Medicare Assignment

221 13TH AVENUE PL NW, STE 202, HICKORY, NC 28601(828) 322-8484(828) 324-9526 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Shane O Summers M.d. NPPES

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

DR. SHANE O SUMMERS M.D. (NPI 1497751671) is an individual family medicine provider in Hickory, North Carolina, licensed in North Carolina (9401061) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Frye Regional Medical Center, and is a graduate of Ohio State University College Of Medicine (1986).

NPPES Registry Identity

NPI1497751671

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHANE O SUMMERSCredential: M.D.

Location Address221 13TH AVENUE PL NW, STE 202Hickory, NC 28601-2596

Mailing Address221 13th Avenue Pl Nw, Ste 202Hickory, NC 28601-2596 · (828) 322-8484 · Fax (828) 324-9526

Phone(828) 322-8484

Fax(828) 324-9526

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1986

Enumeration DateJune 22, 2005

Last NPPES UpdateFebruary 24, 2011

✔ NPI 1497751671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 9401061

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.

221 13TH AVENUE PL NW, Hickory, NC 28601

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified2204116CNC

Medicaid7980873NC

Medicare UPINF90558NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.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

Dr. Shane O Summers 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 ID5294789699

PECOS Enrollment IDI20050309000221

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 11

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.

397 services160 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

392 services163 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.

121 services121 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

82 services82 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.

62 services45 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.

44 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC

1/5 CMS rating

OwnershipProprietary

CMS Certification Number340116

Location420 N Center StHickory, NC 28601 · Catawba County

Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340143

Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28601 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 10

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

13 suppliers39 claims85 services$6.31 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers12 claims13 services$1.14 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers13 claims13 services$39.09 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers14 claims14 services$12.01 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers18 claims100 services$1.78 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

4 suppliers39 claims39 services$16.70 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 12

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

HART FAMILY PRACTICE PA

Family Medicine

221 13TH AVENUE PL NW
HICKORY, NC 28601

Catawba County (828) 322-8484

MRS. JOYCE PUCKETT BAKER ANP-C

Nurse Practitioner (Adult Health)

221 13TH AVENUE PL NW, SUITE 202
HICKORY, NC 28601

Catawba County (828) 320-2387

DR. MACKENZIE SEWELL LECROY DDS

Dentist (General Practice)

221 13TH AVENUE PL NW
HICKORY, NC 28601

Catawba County (828) 328-5581

MCKINNEY & GRAHAM PLLC

Dentist (Dental Public Health)

221 13TH AVENUE PL NW
HICKORY, NC 28601

Catawba County (828) 324-6235

MRS. JUDITH JACKSON-MALINA FNP-BC

Nurse Practitioner (Family)

221 13TH AVENUE PL NW, SUITE 202
HICKORY, NC 28601

Catawba County (828) 322-8484

MRS. LINDA ANN SCHULTZ NP

Nurse Practitioner (Adult Health)

221 13TH AVENUE PL NW
HICKORY, NC 28601

Catawba County (828) 322-8484

MRS. SHERI RENEE COMBS FNP-BC

Nurse Practitioner (Family)

221 13TH AVENUE PL NW, SUITE 202
HICKORY, NC 28601

Catawba County (828) 322-8484

DR. ROBERT ERIC HART M.D.

Family Medicine

221 13TH AVENUE PL NW, STE 202
HICKORY, NC 28601

Catawba County (828) 322-8484

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 Shane Summers's NPI number?

The NPI number for Shane Summers is 1497751671. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Shane Summers located?

Shane Summers practices at 221 13th Avenue Pl NW Ste 202, Hickory, NC 28601. The listed phone number is (828) 322-8484.

What is Shane Summers's specialty?

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

Is Shane Summers enrolled in Medicare?

Yes. Shane Summers 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 Shane Summers accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Shane Summers 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 Shane Summers affiliated with any hospitals?

According to CMS data, Shane Summers is affiliated with Frye Regional Medical Center and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Summers was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.