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DR. BRAD SUMRELL M.D.
NPI 1952382749
Pediatrics in Clovis, CA

Active since November 08, 2005PECOS Enrolled
85.78/100
CMS Quality Rating
275 W HERNDON AVE, CLOVIS, CA 93612(559) 324-6200(559) 324-6280 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Brad Sumrell M.d. NPPES

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

DR. BRAD SUMRELL M.D. (NPI 1952382749) is an individual pediatrics provider in Clovis, California, licensed in California (A40182) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952382749
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRAD SUMRELLCredential: M.D.
Location Address275 W HERNDON AVEClovis, CA 93612-0204
Mailing Address275 W Herndon AveClovis, CA 93612-0204 · (559) 324-6200 · Fax (559) 324-6280
Phone(559) 324-6200
Fax(559) 324-6280
Sole ProprietorNo
Enumeration DateNovember 8, 2005
Last NPPES UpdateAugust 22, 2007
✔ NPI 1952382749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A40182
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
275 W HERNDON AVE, Clovis, CA 93612
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Other Identifiers 5

Other00A401820CA · Blue Cross/blue Shield
Medicare ID-Type Unspecified00A401821CA
Other77040368493612B002CA · Champus
Medicaid00A401820CA
Medicare UPINA29070CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brad Sumrell M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Brad Sumrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Foundation Medical Group
2.2 mi
Orthopaedic Surgery
2151 HERNDON AVE STE 105
Fresno, CA 93611
  • Reassigned Medicare billing, California enrollment
  • 508 clinicians in this Medicare group
NPI 1376056721 (559) 256-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93612 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

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.

DR. DIANNE HUBBARD M.D.
Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Fresno County (559) 324-6200
MANUEL BALIKIAN MD
Internal Medicine
275 W HERNDON AVE
CLOVIS, CA 93612
Fresno County (559) 324-6200
JOYALENE ONN LIN NG HIERSCHE NP
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Fresno County (559) 324-6200
MELISSA BILLION ROBERTS FNP
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Fresno County (559) 324-6200
DR. MERLE MARTIN M.D.
Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Fresno County (559) 324-6200
MS. LETA HERING PNP
Nurse Practitioner (Pediatrics)
275 W HERNDON AVE
CLOVIS, CA 93612
Fresno County (559) 324-6200
MR. VICTOR O GUNN
Physician Assistant
275 W HERNDON AVE
CLOVIS, CA 93612
Fresno County (559) 324-6200
MRS. JENNIFER KRISTIN NAY P.A.-C
Physician Assistant (Medical)
275 W HERNDON AVE
CLOVIS, CA 93612
Fresno County (559) 324-6200

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 Brad Sumrell's NPI number?

The NPI number for Brad Sumrell is 1952382749. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Brad Sumrell located?

Brad Sumrell practices at 275 W Herndon Ave, Clovis, CA 93612. The listed phone number is (559) 324-6200.

What is Brad Sumrell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brad Sumrell enrolled in Medicare?

Yes. Brad Sumrell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brad Sumrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brad Sumrell reassigns Medicare benefits to Community Foundation Medical Group (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brad Sumrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brad Sumrell was last updated on August 22, 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.