MICHAEL SUMMERS
NPI 1891719324
Family Medicine in Fredericksburg, VA

Active since July 27, 2006PECOS Enrolled
12101 CAROL LN STE 101, FREDERICKSBURG, VA 22407(540) 741-9300 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 12, 2024, Nov 2, 2021 (2 updates tracked since 2021).

About Michael Summers NPPES

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

MICHAEL SUMMERS (NPI 1891719324) is an individual family medicine provider in Fredericksburg, Virginia, licensed in Virginia (0101273522) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Greenfield.

NPPES Registry Identity

NPI1891719324
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL SUMMERS
Location Address12101 CAROL LN STE 101Fredericksburg, VA 22407-6104
Mailing Address250 N Shadeland Ave, Ste 130Indianapolis, IN 46219-4959
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1891719324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VA · 0101273522 Licensed in IN · 01034573A
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.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 0101273522 (VA)
12101 CAROL LN STE 101, Fredericksburg, VA 22407

Secondary Practice Location 1

Location 11515 N State StGreenfield, IN 46140-1066 · Phone (317) 216-2700 · Fax (317) 216-2777

Other Identifiers 3

Other000000599162Anthem Pin#
Medicaid100348400IN
OtherP00696807Rr Mcr#

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 (PECOS)

Michael Summers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.
15 services15 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22407 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.53 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.

Physical Medicine & Rehabilitation
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Family Medicine
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Family Medicine
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407
Student in an Organized Health Care Education/Training Program
12101 CAROL LN STE 101
FREDERICKSBURG, VA 22407

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 Michael Summers's NPI number?

The NPI number for Michael Summers is 1891719324. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Michael Summers located?

Michael Summers practices at 12101 Carol Ln Ste 101, Fredericksburg, VA 22407. The listed phone number is (540) 741-9300.

What is Michael Summers's specialty?

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

Is Michael Summers enrolled in Medicare?

Yes. Michael Summers is registered in the Medicare PECOS enrollment system.

What insurance does Michael Summers accept?

Health plans from CareSource list Michael Summers 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 Michael Summers was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.