DR. KATHLEEN LEA SUMMERS MD, PHD
NPI 1750433611
Hospitalist in Jacksonville, IL

Q: What is Kathleen Summers's NPI number?

The NPI number for Kathleen Summers is 1750433611. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Kathleen Summers's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Summers was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 January 18, 2007PECOS EnrolledAccepts Medicare Assignment

1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 245-9541(217) 606-3057 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2019, Mar 8, 2019, Feb 5, 2016 (3 updates tracked since 2016).

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About Dr. Kathleen Lea Summers Md, Phd NPPES

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

DR. KATHLEEN LEA SUMMERS MD, PHD (NPI 1750433611) is an individual hospitalist provider in Jacksonville, Illinois, licensed in Illinois (036103814) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Carlinville Area Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1750433611

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. KATHLEEN LEA SUMMERSCredential: MD, PHD

Location Address1600 W WALNUT STJacksonville, IL 62650-1136

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(217) 245-9541

Fax(217) 606-3057

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1998

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1750433611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036103814

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036103814 (IL)

1600 W WALNUT ST, Jacksonville, IL 62650

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Secondary Practice Locations 3

Location 11600 W Walnut StJacksonville, IL 62650 · Phone (217) 245-9541 · Fax (217) 479-8781

Location 2405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 ext. 65126 · Fax (618) 529-0479

Location 3616 Westwinds DrJacksonville, IL 62650-3612 · Phone (480) 238-2324

Other Identifiers 3

MedicaidL86359IL

MedicaidL97187IL

MedicaidL997718IL

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. Kathleen Lea Summers Md, Phd 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 ID6709873334

PECOS Enrollment IDI20160210001694

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.

Medicare Billing Reassignments

Medicare enrollment records show Kathleen Summers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carlinville Area Hospital Association

31 mi

Rural Health

1611 N SPRINGFIELD ST
Virden, IL 62690

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1053425124 (Illinois)
78 clinicians in this Medicare group

NPI 1447691571 (217) 854-3819

Macoupin Physician Services, PC

37 mi

Hospitalist

20733 N BROAD ST
Carlinville, IL 62626

Reassigned Medicare billing, Illinois enrollment
35 clinicians in this Medicare group

NPI 1013686302 (217) 854-3141

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

394 services168 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

158 services141 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

152 services135 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

129 services117 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

113 services78 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141347

Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County

Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141352

Location1600 W Walnut StJacksonville, IL 62650 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers33 claims33 services$16.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers68 claims70 services$107.00 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier32 claims33 services$36.54 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier13 claims13 services$22.91 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.

HEALTHCARE NETWORK ASSOCIATES

Clinic/Center (Multi-Specialty)