1. Home
  2. Directory
  3. Vermont
  4. Berlin
  5. Preventive Medicine
  6. NPI Profile

AUSTIN D SUMNER MD
NPI 1609923259
Preventive Medicine - Occupational Medicine in Berlin, VT

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
244 GRANGER ROAD, BERLIN, VT 05602(802) 225-3942(802) 225-3959 Get Directions Write a Review

NPPES record last updated: January 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Austin D Sumner Md NPPES

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

AUSTIN D SUMNER MD (NPI 1609923259) is an individual occupational medicine provider in Berlin, Vermont, licensed in Vermont (042.0011549) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1999).

NPPES Registry Identity

NPI1609923259
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameAUSTIN D SUMNERCredential: MD
Location Address244 GRANGER ROADBerlin, VT 05602-9516
Mailing AddressPo Box 547, Att: Cvmc Finance DeptBarre, VT 05641-0547 · (802) 225-3942 · Fax (802) 225-3959
Phone(802) 225-3942
Fax(802) 225-3959
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1999
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJanuary 6, 2024
NPPES CertifiedJanuary 6, 2024
✔ NPI 1609923259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in VT · 042.0011549
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 242399 (NY), 042-0011549 (VT)
Also ListedInternal MedicineTaxonomy 207R00000X · License 042.0011549 (VT)
244 GRANGER ROAD, Berlin, VT 05602
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1133 Park StMalone, NY 12953-1244 · Phone (518) 481-2677
Location 275 Beekman StPlattsburgh, NY 12901-1427 · Phone (518) 562-7408

Other Identifiers 1

Medicaid1018424VT

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Austin D Sumner Md 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 ID7113017310
PECOS Enrollment IDI20110202000666
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

3

Medicare enrollment records show Austin Sumner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Vermont Medical Center Inc
0.7 mi
Family Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1831374362 (Vermont)
  • 562 clinicians in this Medicare group
NPI 1023028784 (802) 371-4100
Champlain Valley Physicians Hospital Medical Center
56 mi
General Acute Care Hospital
75 BEEKMAN ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York enrollment
  • 675 clinicians in this Medicare group
NPI 1033270699 (518) 561-2000
Alice Hyde Medical Center
96 mi
Critical Access
133 PARK ST
Malone, NY 12953
  • Reassigned Medicare billing, New York enrollment
  • 326 clinicians in this Medicare group
NPI 1114954682 (518) 481-2210

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 05602 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 Austin Sumner's NPI number?

The NPI number for Austin Sumner is 1609923259. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Austin Sumner located?

Austin Sumner practices at 244 Granger Road, Berlin, VT 05602. The listed phone number is (802) 225-3942.

What is Austin Sumner's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Austin Sumner enrolled in Medicare?

Yes. Austin Sumner 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.

Which organizations bill Medicare for Austin Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Sumner reassigns Medicare benefits to 3 organizations: Central Vermont Medical Center Inc (Berlin, VT), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY) and Alice Hyde Medical Center (Malone, NY). 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 Austin Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Austin Sumner accept?

Health plans from Anthem Blue Cross and Blue Shield list Austin 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 Austin Sumner was last updated on January 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.