Doctor profile · Federal record
Dr. Stephen Summers, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Sleep Medicine (Internal Medicine) Physician · Worcester, MA
- NPI 1841233269
- Accepts Medicare
- MIPS 89.0 / 100 · 2023
- 27 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
55 Lake Ave N
Worcester, MA 016550002
(774) 442-1975
fax (508) 856-3999 - Mailing address
-
Po Box 415348
Boston, MA 022415348
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- May 28, 2024
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Massachusetts #232045
- Medicaid
- MA #110075646A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841233269. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
725
Distinct HCPCS
10
Medicare allowed
$78,088
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 180 | 142 | $99 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 153 | 139 | $67 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 139 | 69 | $80 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 85 | 55 | $121 | |
99291 |
Critical care, first 30-74 minutes | 58 | 32 | $216 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 24 | $133 | |
99239 |
Hospital discharge day management, more than 30 minutes | 22 | 22 | $117 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | 19 | $177 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 18 | 17 | $146 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $136 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 55. This provider delivers 13× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
922
Patients
260
Total drug cost
$389,931
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 135 | 28 | $123,112 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 117 | 48 | $5,783 |
| Fluticasone Propionate | Generic | 76 | 31 | $1,672 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 72 | 17 | $51,430 |
| Prednisone | Generic | 64 | 40 | $243 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 63 | 16 | $35,877 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 61 | 17 | $39,738 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 61 | 16 | $5,269 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 58 | 17 | $42,953 |
| Ipratropium Bromide | Generic | 46 | 17 | $1,379 |
Hospital affiliations
Frequently asked questions
What is Dr. Stephen Summers's medical specialty?
Dr. Stephen Summers practices Pulmonary Disease Physician in Worcester, MA.
Where does Dr. Stephen Summers practice?
Dr. Stephen Summers practices at 55 Lake Ave N, Worcester, MA 016550002. Office phone: 7744421975.
What is Dr. Stephen Summers's NPI?
Dr. Stephen Summers's National Provider Identifier (NPI) is 1841233269, issued by NPPES.
Does Dr. Stephen Summers accept Medicare assignment?
Yes. Dr. Stephen Summers accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stephen Summers commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.