NICOLA T. SUMOROK M.D.
NPI 1699973404
Internal Medicine in Springfield, MA

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
11 WILBRAHAM ROAD, 2ND FLOOR, SPRINGFIELD, MA 01109(413) 794-2511(413) 794-8428 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicola T. Sumorok M.d. NPPES

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

NICOLA T. SUMOROK M.D. (NPI 1699973404) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (271118) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of University Of Massachusetts Medical School (2007).

NPPES Registry Identity

NPI1699973404
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNICOLA T. SUMOROKCredential: M.D.
Location Address11 WILBRAHAM ROAD, 2ND FLOORSpringfield, MA 01109-3161
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-8428
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2007
Enumeration DateJuly 3, 2007
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1699973404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 271118
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11 WILBRAHAM ROAD, Springfield, MA 01109

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

Nicola T. Sumorok M.d. 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 ID6305072059
PECOS Enrollment IDI20170913002489
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
137 services106 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01109 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers32 claims99 services$5.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims27 services$1.10 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers13 claims1,681 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers49 claims49 services$198.43 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers14 claims14 services$17.38 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 20

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

Internal Medicine
11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109
Internal Medicine
11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109
Internal Medicine
11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109
Internal Medicine
11 WILBRAHAM ROAD, 2ND FLOOR
MANASSAS, MA 01109
Nurse Practitioner (Primary Care)
11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109
Internal Medicine
11 WILBRAHAM ROAD
SPRINGFIELD, MA 01109
Nurse Practitioner (Adult Health)
11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109
Internal Medicine
11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109

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 Nicola Sumorok's NPI number?

The NPI number for Nicola Sumorok is 1699973404. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Nicola Sumorok located?

Nicola Sumorok practices at 11 Wilbraham Road 2nd Floor, Springfield, MA 01109. The listed phone number is (413) 794-2511.

What is Nicola Sumorok's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicola Sumorok enrolled in Medicare?

Yes. Nicola Sumorok 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 Nicola Sumorok accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicola Sumorok 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 Nicola Sumorok affiliated with any hospitals?

According to CMS data, Nicola Sumorok is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Nicola Sumorok was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.