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BENJAMIN SUMNER PA
NPI 1609271188
Physician Assistant in Salt Lake City, UT

Active since October 27, 2014PECOS Enrolled
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103(801) 536-3500 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, May 18, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Benjamin Sumner Pa NPPES

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

BENJAMIN SUMNER PA (NPI 1609271188) is an individual physician assistant in Salt Lake City, Utah and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609271188
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN SUMNERCredential: PA
Location Address1275 E FAIRFAX RDSalt Lake City, UT 84103-4324
Mailing Address1275 E Fairfax RdSalt Lake City, UT 84103-4324 · (801) 536-3500
Phone(801) 536-3500
Sole ProprietorNo
Enumeration DateOctober 27, 2014
Last NPPES UpdateMarch 24, 20254 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1609271188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 52030 (CA)
1275 E FAIRFAX RD, Salt Lake City, UT 84103
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Secondary Practice Locations 3

Location 11420 N Tracy BlvdTracy, CA 95376-3451 · Phone (209) 832-6018
Location 23725 W 4100 SWest Valley City, UT 84120-5530 · Phone (801) 965-3600
Location 39844 S 1300 E Ste 100Sandy, UT 84094-4600 · Phone (801) 571-9433

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah 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)

Benjamin Sumner Pa 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 84103 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 12

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

EMILY TYLER PA
Physician Assistant
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103
Salt Lake County (801) 536-3500
SHRINERS HOSPITALS FOR CHILDREN
Clinic/Center (Rehabilitation)
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103
Salt Lake County (801) 536-3500
CLAYTON JAMES GARCIA DPT
Physical Therapist
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103
Salt Lake County (209) 814-0928
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
Prosthetic/Orthotic Supplier
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103
Salt Lake County (801) 536-3820
AMY SHUCKRA DPT
Physical Therapist (Pediatrics)
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103
Salt Lake County (801) 536-3805
HOLLY NELSON
Physical Therapist
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103
Salt Lake County (801) 536-6310
SHRINERS HOSPITALS FOR CHILDREN
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103
Salt Lake County (801) 536-3714
DAVID DRAPER C.P.O.
Prosthetist
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103
Salt Lake County (801) 536-3820

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 Benjamin Sumner's NPI number?

The NPI number for Benjamin Sumner is 1609271188. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Benjamin Sumner located?

Benjamin Sumner practices at 1275 E Fairfax Rd, Salt Lake City, UT 84103. The listed phone number is (801) 536-3500.

What is Benjamin Sumner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benjamin Sumner enrolled in Medicare?

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

What insurance does Benjamin Sumner accept?

Health plans from Ambetter from Arizona Complete Health, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Benjamin 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 Benjamin Sumner was last updated on March 24, 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.