JOHN SUMMITT MD
NPI 1649367772
Plastic Surgery in Nashville, TN

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Summitt Md NPPES

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

JOHN SUMMITT MD (NPI 1649367772) is an individual plastic surgery provider in Nashville, Tennessee, licensed in Tennessee (MD30162) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1995).

NPPES Registry Identity

NPI1649367772
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameJOHN SUMMITTCredential: MD
Location Address3601 TVCNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1995
Enumeration DateOctober 9, 2006
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1649367772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in TN · MD30162
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License MD30162 (TN)
3601 TVC, Nashville, TN 37232

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

John Summitt 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 ID3870566409
PECOS Enrollment IDI20040812001511
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.

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.

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002
This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.
19 services12 patients
Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15100
A partial thickness self skin graft involves taking a thin layer of healthy skin from one area of your body and transplanting it to a damaged area on your trunk, arms, or legs. This procedure is used to treat a variety of skin conditions and injuries. It covers a maximum of 100.0 sq cm or 1% of body area for infants and children.
14 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440137
Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Pediatrics
3601 TVC
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology)
3601 TVC
NASHVILLE, TN 37232
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3601 TVC
NASHVILLE, TN 37232
Pediatrics (Pediatric Nephrology)
3601 TVC
NASHVILLE, TN 37232
Internal Medicine (Infectious Disease)
3601 TVC
NASHVILLE, TN 37232
Physical Medicine & Rehabilitation
3601 TVC
NASHVILLE, TN 37232
Surgery
3601 TVC
NASHVILLE, TN 37232
Anesthesiology
3601 TVC
NASHVILLE, TN 37232

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 John Summitt's NPI number?

The NPI number for John Summitt is 1649367772. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is John Summitt located?

John Summitt practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is John Summitt's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is John Summitt enrolled in Medicare?

Yes. John Summitt 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 John Summitt accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list John Summitt 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 John Summitt affiliated with any hospitals?

According to CMS data, John Summitt is affiliated with Vanderbilt University Medical Center and Vanderbilt Bedford Hospital.

When was this NPI record last updated?

The NPPES record for John Summitt was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.