SUSAN R SOMMER CNM
NPI 1720086598
Advanced Practice Midwife in Toledo, OH
About Susan R Sommer Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN R SOMMER CNM (NPI 1720086598) is an individual advanced practice midwife provider in Toledo, Ohio, licensed in Ohio (NM-08141) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated November 3, 2023.
NPPES Registry Identity
★ Primary Specialty
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic… Show more
Also on File with NPPES
4702342 (Medicaid, MI)
000000363075 (Other, OH, Anthem)
05225 (Other, OH, Paramount)
4702351 (Medicaid, MI)
2543233 (Medicaid, OH)
344428256 (Other, OH, Beechstreet)
Medicare Participation & PECOS Enrollment Status
Susan Sommer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43606 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TOLEDO, OH 43606
TOLEDO, OH 43606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720086598, enumerated as an "individual" on July 14, 2005.
The provider is located at 2142 N COVE BLVD TOLEDO, OH 43606 and the phone number is (419) 291-8541.
Advanced Practice Midwife with taxonomy code 367A00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
