DR. RICHARD A SUMMA M.D.
NPI 1558334227
Internal Medicine - Pulmonary Disease in Bridgeton, MO

Q: What is Richard Summa's NPI number?

The NPI number for Richard Summa is 1558334227. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Richard Summa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Richard Summa was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment

12255 DE PAUL DR STE 500, BRIDGETON, MO 63044(314) 291-9501(314) 291-9508 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Richard A Summa M.d. NPPES

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

DR. RICHARD A SUMMA M.D. (NPI 1558334227) is an individual pulmonary disease provider in Bridgeton, Missouri, licensed in Missouri (R8D48) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Saint Louis University School Of Medicine (1982).

NPPES Registry Identity

NPI1558334227

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RICHARD A SUMMACredential: M.D.

Location Address12255 DE PAUL DR STE 500Bridgeton, MO 63044-2515

Mailing AddressPo Box 955534Saint Louis, MO 63195-0001

Phone(314) 291-9501

Fax(314) 291-9508

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 1982

Enumeration DateFebruary 10, 2006

Last NPPES UpdateOctober 27, 2020

NPPES CertifiedOctober 27, 2020

✔ NPI 1558334227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MO · R8D48

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

12255 DE PAUL DR STE 500, Bridgeton, MO 63044

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Other Identifiers 1

OtherP00035728MO · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower 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 and accepts Medicare assignment

Dr. Richard A Summa 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 ID42353013

PECOS Enrollment IDI20100130000241

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 8

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, 30-39 minutes 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.

202 services181 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

180 services178 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

167 services165 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

124 services122 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

42 services42 patients

Established patient office or other outpatient visit, 40-54 minutes 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.

33 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260005

Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County

Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260104

Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County

Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers29 claims29 services$30.69 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers28 claims55 services$1.20 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

2 suppliers12 claims12 services$9.21 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers11 claims27 services$26.36 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers18 claims108 services$11.73 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 suppliers30 claims30 services$48.18 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers22 claims22 services$15.05 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers14 claims14 services$8.99 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers28 claims163 services$1.55 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers26 claims26 services$9.99 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

3 suppliers18 claims22 services$14.32 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$42.40 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers23 claims25 services$9.68 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers30 claims30 services$1.88 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers28 claims28 services$27.77 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers127 claims131 services$69.92 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$30.96 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims930 services$6.54 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers14 claims3,899 services$0.02 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

16 suppliers92 claims15,356 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers13 claims900 services$0.83 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers42 claims42 services$33.36 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

15 suppliers91 claims91 services$23.00 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

10 suppliers25 claims25 services$48.02 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 8

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

MRS. MEHWISH BILAL M.D.

Internal Medicine (Rheumatology)

12255 DE PAUL DR STE 500
BRIDGETON, MO 63044

St. Louis County (314) 209-5180

MR. PATRICK B SANDIFORD M.D.

Internal Medicine (Pulmonary Disease)

12255 DE PAUL DR STE 500
BRIDGETON, MO 63044

St. Louis County (314) 209-5180

BARBARA MAGREW ANP.

Nurse Practitioner (Adult Health)

12255 DE PAUL DR STE 500
BRIDGETON, MO 63044

St. Louis County (314) 209-5180

NIKHAT SALAMAT M.D.

Internal Medicine (Pulmonary Disease)

12255 DE PAUL DR STE 500
BRIDGETON, MO 63044

St. Louis County (314) 209-5180

MRS. ROMILA ASLAM M.D.

Internal Medicine (Rheumatology)

12255 DE PAUL DR STE 500
BRIDGETON, MO 63044

St. Louis County (314) 209-5180

DR. ASHFAQ ULLAH MD

Internal Medicine

12255 DE PAUL DR STE 500
BRIDGETON, MO 63044

St. Louis County (314) 209-5180

MEREDITH NORMAN APRN-CNP

Nurse Practitioner (Family)

12255 DE PAUL DR STE 500
BRIDGETON, MO 63044

St. Louis County (314) 209-5180

MRS. EMILY E EPLEY FNP

Nurse Practitioner (Family)

12255 DE PAUL DR STE 500
BRIDGETON, MO 63044

St. Louis County (314) 209-5180

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 Richard Summa's NPI number?

The NPI number for Richard Summa is 1558334227. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Richard Summa located?

Richard Summa practices at 12255 De Paul Dr Ste 500, Bridgeton, MO 63044. The listed phone number is (314) 291-9501.

What is Richard Summa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Richard Summa enrolled in Medicare?

Yes. Richard Summa 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 Richard Summa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Richard Summa 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 Richard Summa affiliated with any hospitals?

According to CMS data, Richard Summa is affiliated with Ssm St Joseph Health Center, Ssm Health Depaul Hospital St Louis and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Richard Summa was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.