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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Justen Sumner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19114
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Aria Health Physician Services
- 490 clinicians in this Medicare group
Abington, PA 19001
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1316189855 (Pennsylvania)
- 107 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Justen Sumner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justen Sumner reassigns Medicare benefits to 2 organizations: Aria Health Physicians Services - Emergency Medicine (Philadelphia, PA) and Abington Memorial Hospital (Abington, PA). 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 Justen Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Justen Sumner, MD, MPH · NPI 1629496294
Obstetrics & Gynecology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 1, 2014.
## Identity
- **NPI:** 1629496294 (Entity type: Individual)
- **Enumerated:** April 1, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD464730 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3998 RED LION RD STE 106, Philadelphia, PA 19114
- **Phone:** (215) 612-5481
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aria Health Physicians Services - Emergency Medicine (NPI 1053456079, Philadelphia, PA); Abington Memorial Hospital (NPI 1548825243, Abington, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** July 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1629496294) · Data from the CMS NPPES public registry.