PAUL HENRY SUMNICHT M.D.
NPI 1639214752
Family Medicine in Waupun, WI

Q: What is Paul Sumnicht's NPI number?

The NPI number for Paul Sumnicht is 1639214752. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Paul Sumnicht's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Sumnicht was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 20, 2007PECOS Enrolled

93.44/100

CMS Quality Rating

1 W LINCOLN ST, WAUPUN, WI 53963(920) 324-7259(920) 324-7254 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paul Henry Sumnicht M.d. NPPES

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

PAUL HENRY SUMNICHT M.D. (NPI 1639214752) is an individual family medicine provider in Waupun, Wisconsin, licensed in Wisconsin (25454) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639214752

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAUL HENRY SUMNICHTCredential: M.D.

Location Address1 W LINCOLN STWaupun, WI 53963-1949

Mailing Address26 S Keller Park DrAppleton, WI 54914-8868

Phone(920) 324-7259

Fax(920) 324-7254

Sole ProprietorNo

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639214752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 25454

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 W LINCOLN ST, Waupun, WI 53963

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Henry Sumnicht M.d. 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 53963 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.61

Promoting Interoperability

Improvement Activities

Cost

76.71

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers11 claims11 services$35.24 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims56 services$2.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

DR. ROMAN YAKOV KAPLAN MD

Family Medicine

1 W LINCOLN ST, DCI HSU
WAUPUN, WI 53963

Fond Du Lac County (920) 324-6235

MS. MELISSA A. JOHNSON APNP

Nurse Practitioner (Family)

1 W LINCOLN ST
WAUPUN, WI 53963

Fond Du Lac County (920) 324-6290

WILLIAM NEWBERT JR.

Physician Assistant (Medical)

1 W LINCOLN ST
WAUPUN, WI 53963

Fond Du Lac County (920) 324-6481

CRAIG MATTHEW ROSENTHAL DDS

Dentist

1 W LINCOLN ST
WAUPUN, WI 53963

Fond Du Lac County (929) 324-6256

PEGGY L KEULER NP

Nurse Practitioner

1 W LINCOLN ST
WAUPUN, WI 53963

Fond Du Lac County (920) 324-5577

MRS. DENISE BONNETT APRN,BC

Nurse Practitioner (Family)

1 W LINCOLN ST, BOX 661
WAUPUN, WI 53963

Fond Du Lac County (920) 324-6235

DR. TAI M CHAN O.D.

Optometrist (Corneal and Contact Management)

1 W LINCOLN ST
WAUPUN, WI 53963

Fond Du Lac County (920) 324-5577

KENNETH R. BURG M.D.

Psychiatry & Neurology (Psychiatry)

1 W LINCOLN ST
WAUPUN, WI 53963

Fond Du Lac County (920) 324-5577

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 Paul Sumnicht's NPI number?

The NPI number for Paul Sumnicht is 1639214752. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Paul Sumnicht located?

Paul Sumnicht practices at 1 W Lincoln St, Waupun, WI 53963. The listed phone number is (920) 324-7259.

What is Paul Sumnicht's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Sumnicht enrolled in Medicare?

Yes. Paul Sumnicht is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Sumnicht was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.