DR. JOHN D SUMMER DDS
NPI 1932169133
Dentist - General Practice in Portland, OR

Active since March 23, 2006PECOS Enrolled
833 SW 11TH AVE, #810, PORTLAND, OR 97205(503) 241-7353(503) 525-2966 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John D Summer Dds NPPES

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

DR. JOHN D SUMMER DDS (NPI 1932169133) is an individual general practice provider in Portland, Oregon, licensed in Oregon (5679) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932169133
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN D SUMMERCredential: DDS
Location Address833 SW 11TH AVE, #810Portland, OR 97205-2125
Mailing Address833 Sw 11th Ave., #810Portland, OR 97205 · (503) 241-7353 · Fax (503) 525-2966
Fax(503) 525-2966
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateSeptember 27, 2007
NPI 1932169133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · 5679
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

833 SW 11TH AVE, Portland, OR 97205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John D Summer Dds 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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Application and removal of dental fixation device 21110
A dental fixation device helps stabilize and align your teeth or jaw. It's applied by a dental professional, often after surgery or injury. Over time, it aids in proper healing. Its removal, also done by a professional, occurs once the desired alignment is achieved.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97205 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 20

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

Dentist (General Practice)
833 SW 11TH AVE, STE 500
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, SUITE 1010
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE, SUITE 600
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, STE 616
PORTLAND, OR 97205
Dentist
833 SW 11TH AVE, SUITE 1018
PORTLAND, OR 97205
Dentist (General Practice)
833 SW 11TH AVE
PORTLAND, OR 97205
Psychologist
833 SW 11TH AVE, SUITE 424
PORTLAND, OR 97205
Social Worker (Clinical)
833 SW 11TH AVE, 913
PORTLAND, OR 97205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932169133, enumerated as an "individual" on March 23, 2006.

The provider is located at 833 SW 11TH AVE #810 PORTLAND, OR 97205 and the phone number is (503) 241-7353.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.