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COURTNEY MARIE SUMNER
NPI 1609238773
Pediatrics in Cincinnati, OH

Active since March 28, 2016PECOS Enrolled
3430 BURNET AVE, MEDICAL OFFICE BUILDING 2ND FLOOR, ML 5026, CINCINNATI, OH 45229(513) 636-7722(513) 636-3737 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2019, Mar 28, 2016 (2 updates tracked since 2016).

About Courtney Marie Sumner NPPES

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

COURTNEY MARIE SUMNER (NPI 1609238773) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.135941) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1609238773
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCOURTNEY MARIE SUMNER
Location Address3430 BURNET AVE, MEDICAL OFFICE BUILDING 2ND FLOOR, ML 5026Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Ml 5021Cincinnati, OH 45229-3818 · (513) 636-4225 · Fax (513) 636-2511
Phone(513) 636-7722
Fax(513) 636-3737
Sole ProprietorNo
Enumeration DateMarch 28, 2016
Last NPPES UpdateJune 17, 20192 updates tracked since enumeration
✔ NPI 1609238773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.135941
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3430 BURNET AVE, MEDICAL OFFICE BUILDING 2ND FLOOR, Cincinnati, OH 45229
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Secondary Practice Location 1

Location 1571 S Floyd St, Suite 412Louisville, KY 40202-3818 · Phone (502) 629-8828

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Marie Sumner 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Courtney Sumner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center
0.2 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
Chmc Community Health Services Network
0.2 mi
Pediatrics
3333 BURNET AVE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 50 clinicians in this Medicare group
NPI 1245821271 (513) 636-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Courtney Sumner's NPI number?

The NPI number for Courtney Sumner is 1609238773. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Courtney Sumner located?

Courtney Sumner practices at 3430 Burnet Ave, Medical Office Building 2nd Floor Ml 5026, Cincinnati, OH 45229. The listed phone number is (513) 636-7722.

What is Courtney Sumner's specialty?

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

Is Courtney Sumner enrolled in Medicare?

Yes. Courtney Sumner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Courtney Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Sumner reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and Chmc Community Health Services Network (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Sumner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Courtney Sumner 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 Courtney Sumner was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.