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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: August 09, 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
Phone(208) 232-1443
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
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Other Identifiers 1

Medicaid808342900ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.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.

JAMIE KAE COBBLEY OTR/L
Specialist
1151 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 233-3353
HAIDEN L SIEPERT ATC, LAT
Specialist/Technologist (Athletic Trainer)
1151 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (801) 564-2174
DR. DON E MCINTURFF M.D.
Pediatrics (Adolescent Medicine)
1151 HOSPITAL WAY, BUILDING F
POCATELLO, ID 83201
Bannock County (208) 232-1443
DR. ALLEN A. ENG M.D.
Radiology (Diagnostic Radiology)
1151 HOSPITAL WAY, BLDG B
POCATELLO, ID 83201
Bannock County (208) 233-1187
JESSICA LUSK LSW
Social Worker
1151 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 233-3353
BMH INC
Clinic/Center
1151 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 785-4100
DR. MATTHEW AYERS MURDOCH M.D.
Pediatrics (Adolescent Medicine)
1151 HOSPITAL WAY, BUILDING F
POCATELLO, ID 83201
Bannock County (208) 232-1443
MRS. PAULA BRUTZ PHELPS PA
Physician Assistant (Medical)
1151 HOSPITAL WAY, SUITE D, SUITE 201
POCATELLO, ID 83201
Bannock County (208) 478-2472

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 Shaun Summerill's NPI number?

The NPI number for Shaun Summerill is 1497807044. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Shaun Summerill located?

Shaun Summerill practices at 1151 Hospital Way Bldg F, Pocatello, ID 83201. The listed phone number is (208) 232-1443.

What is Shaun Summerill's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shaun Summerill enrolled in Medicare?

Yes. Shaun Summerill is registered in the Medicare PECOS enrollment system.

What insurance does Shaun Summerill accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Shaun Summerill 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 Shaun Summerill was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.