DR. JUSTEN SUMNER MD, MPH
NPI 1629496294
Obstetrics & Gynecology in Philadelphia, PA
About Dr. Justen Sumner Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTEN SUMNER MD, MPH (NPI 1629496294) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD464730) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Boston University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Justen Sumner Md, Mph 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Health- Northeast
Acute Care Hospitals · Philadelphia, PAAbington Memorial Hospital
Acute Care Hospitals · Abington, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19114
PHILADELPHIA, PA 19114
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 Justen Sumner's NPI number?
The NPI number for Justen Sumner is 1629496294. It was assigned to this individual provider in the NPPES registry on April 1, 2014.
Where is Justen Sumner located?
Justen Sumner practices at 3998 Red Lion Rd Ste 106, Philadelphia, PA 19114. The listed phone number is (215) 612-5481.
What is Justen Sumner's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Justen Sumner enrolled in Medicare?
Yes. Justen 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.
What insurance does Justen Sumner accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Justen 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.
Is Justen Sumner affiliated with any hospitals?
According to CMS data, Justen Sumner is affiliated with Jefferson Health- Northeast and Abington Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Justen Sumner was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
