DR. JACK MILTON SOMMERS MD, MBA
NPI 1568560464
Family Medicine in Broken Arrow, OK

Active since September 21, 2006PECOS Enrolled
2617 S ELM PL, BROKEN ARROW, OK 74012(918) 455-4511 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2020, Apr 6, 2020 (2 updates tracked since 2020).

About Dr. Jack Milton Sommers Md, Mba NPPES

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

DR. JACK MILTON SOMMERS MD, MBA (NPI 1568560464) is an individual family medicine provider in Broken Arrow, Oklahoma, licensed in Oklahoma (13816) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568560464
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK MILTON SOMMERSCredential: MD, MBA
Location Address2617 S ELM PLBroken Arrow, OK 74012-7850
Mailing Address1145 S Utica Ave Ste 110Tulsa, OK 74104-4013 · (918) 579-3825 · Fax (918) 579-1262
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
NPI 1568560464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 13816
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.

2617 S ELM PL, Broken Arrow, OK 74012

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. Jack Milton Sommers Md, Mba 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.

Areas of Expertise CMS Part B claims 5

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 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.
130 services86 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.
58 services50 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.
33 services33 patients
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.
18 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$14.82 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
4 suppliers25 claims25 services$67.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$31.23 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 7

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

Family Medicine
2617 S ELM PL
BROKEN ARROW, OK 74012
Obstetrics & Gynecology
2617 S ELM PL
BROKEN ARROW, OK 74012
Nurse Practitioner
2617 S ELM PL
BROKEN ARROW, OK 74012
Family Medicine
2617 S ELM PL
BROKEN ARROW, OK 74012
Nurse Practitioner (Family)
2617 S ELM PL
BROKEN ARROW, OK 74012
Nurse Practitioner (Family)
2617 S ELM PL
BROKEN ARROW, OK 74012
Family Medicine
2617 S ELM PL
BROKEN ARROW, OK 74012

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 Jack Sommers's NPI number?

The NPI number for Jack Sommers is 1568560464. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Jack Sommers located?

Jack Sommers practices at 2617 S Elm Pl, Broken Arrow, OK 74012. The listed phone number is (918) 455-4511.

What is Jack Sommers's specialty?

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

Is Jack Sommers enrolled in Medicare?

Yes. Jack Sommers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Sommers was last updated on April 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.