DR. SHAUN STEPHEN SUMMERILL M.D.
NPI 1497807044
Pediatrics in Pocatello, ID

Active since January 16, 2007PECOS Enrolled
1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201(208) 232-1443(208) 239-3434 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2025, Sep 23, 2016 (2 updates tracked since 2016).

About Dr. Shaun Stephen Summerill M.d. NPPES

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

DR. SHAUN STEPHEN SUMMERILL M.D. (NPI 1497807044) is an individual pediatrics provider in Pocatello, Idaho, licensed in Idaho (M-11365) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497807044
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SHAUN STEPHEN SUMMERILLCredential: M.D.
Location Address1151 HOSPITAL WAY, BLDG FPocatello, ID 83201
Mailing Address1151 Hospital Way, Bldg. FPocatello, ID 83201 · (208) 232-1443 · Fax (208) 239-3434
Fax(208) 239-3434
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1497807044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in ID · M-11365 Licensed in WI · 49001
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 49001 (WI)
1151 HOSPITAL WAY, Pocatello, ID 83201

Other Identifiers 1

Medicaid808342900ID

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 (PECOS)

Dr. Shaun Stephen Summerill M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 16

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

Social Worker
1151 HOSPITAL WAY
POCATELLO, ID 83201
Specialist
1151 HOSPITAL WAY
POCATELLO, ID 83201
Social Worker
1151 HOSPITAL WAY
POCATELLO, ID 83201
Legal Medicine
1151 HOSPITAL WAY, BUILDING F
POCATELLO, ID 83201
Internal Medicine (Gastroenterology)
1151 HOSPITAL WAY, BUILDING A
POCATELLO, ID 83201
Specialist/Technologist (Athletic Trainer)
1151 HOSPITAL WAY
POCATELLO, ID 83201
Radiology (Diagnostic Radiology)
1151 HOSPITAL WAY, BLDG B
POCATELLO, ID 83201
Physician Assistant (Medical)
1151 HOSPITAL WAY, SUITE D, SUITE 201
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497807044, enumerated as an "individual" on January 16, 2007.

The provider is located at 1151 HOSPITAL WAY BLDG F POCATELLO, ID 83201 and the phone number is (208) 232-1443.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.