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DR. JEFFREY LYLE SUMME D.O.
NPI 1861409732
Family Medicine in Lynnwood, WA

Active since August 02, 2006Opted out of Medicare · through Mar 10, 2027
19031 33RD AVE W, SUITE 314, LYNNWOOD, WA 98036(425) 744-0709(425) 771-1470 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Lyle Summe D.o. NPPES

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

DR. JEFFREY LYLE SUMME D.O. (NPI 1861409732) is an individual family medicine provider in Lynnwood, Washington, licensed in Washington (1198) and active in the NPI registry since August 2006. He has opted out of Medicare through March 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861409732
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY LYLE SUMMECredential: D.O.
Location Address19031 33RD AVE W, SUITE 314Lynnwood, WA 98036-4731
Mailing Address19031 33rd Ave W, Suite 314Lynnwood, WA 98036-4731 · (425) 744-0709 · Fax (425) 771-1470
Phone(425) 744-0709
Fax(425) 771-1470
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861409732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 1198
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.
19031 33RD AVE W, Lynnwood, WA 98036
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Other Identifiers 2

Medicare UPINE72561WA
Medicaid1301647WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jeffrey Lyle Summe D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 10, 2025 through March 10, 2027.

Opt-Out Effective DateMarch 10, 2025
Opt-Out In Effect ThroughMarch 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98036 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 16

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

DR. JAYSON ADAM SIPRESS DC
Chiropractor (Sports Physician)
19031 33RD AVE W, #315
LYNNWOOD, WA 98036
Snohomish County (425) 971-1942
MS. LORI JANET VANDERBURG M.S.
Marriage & Family Therapist
19031 33RD AVE W, SUITE 303
LYNNWOOD, WA 98036
Snohomish County (425) 640-7919
CAROLE VIRGINIA PRESSON MSW
Social Worker (Clinical)
19031 33RD AVE W
LYNNWOOD, WA 98036
Snohomish County (425) 640-7919
MS. SIDNEY KAY ROCKWELL-MCCOMBS M.A.
Counselor (Mental Health)
19031 33RD AVE W, STE 303
LYNNWOOD, WA 98036
Snohomish County (425) 640-7919
DR. DAVID B WOOD N.D
Naturopath
19031 33RD AVE W, SUITE 301
LYNNWOOD, WA 98036
Snohomish County (425) 778-5673
HILLARY ANN BENDIKSEN LMHC
Counselor (Mental Health)
19031 33RD AVE W, SUITE 303
LYNNWOOD, WA 98036
Snohomish County (206) 321-0477
DR. CHERYL L WOOD N.D
Naturopath
19031 33RD AVE W, SUITE 301
LYNNWOOD, WA 98036
Snohomish County (425) 778-5673
ALDERWOOD COUNSELING ASSOCIATES, PLLC
Marriage & Family Therapist
19031 33RD AVE W, SUITE 303
LYNNWOOD, WA 98036
Snohomish County (425) 640-7919

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 Jeffrey Summe's NPI number?

The NPI number for Jeffrey Summe is 1861409732. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jeffrey Summe located?

Jeffrey Summe practices at 19031 33rd Ave W Suite 314, Lynnwood, WA 98036. The listed phone number is (425) 744-0709.

What is Jeffrey Summe's specialty?

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

Is Jeffrey Summe enrolled in Medicare?

No. Jeffrey Summe has opted out of Medicare through March 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jeffrey Summe accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Jeffrey Summe 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Summe 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.