STACY I SUMMA (PA C) – Physician Assistant, NPI 1295722478
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for STACY I SUMMA (PA C)
PO BOX 905
ORANGE, CA 928566905
Phone:
Type: Mailing
280, South Main Street, Old Town Placentia, Placentia, Orange County, California, 92870, United States
STE 200
ORANGE, CA 928683852
Phone: (714) 634-4567
Fax: (714) 634-4569
Type: Location
875 S Vanguard Way Ste 200
Meridian, ID 836428542
Phone: (208) 463-3219
Fax: (208) 463-3055
Type: Location
4424 E FLAMINGO AVE STE 110
NAMPA, ID 836879291
Phone: (208) 302-3200
Fax: (208) 302-3255
Type: Location
PO BOX 190930
BOISE, ID 837190930
Phone: (208) 367-5170
Fax: (208) 367-5180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $375.
Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Medtronic, Inc. ($206).
Total Amount
$375
General + Research + Ownership
Payments
4
Total payment records
General Amount
$375
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $206 |
| Heron Therapeutics, Inc. | $121 |
| Stryker Corporation | $29 |
| Bioventus LLC | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191226001531 | I | Physician Assistant | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 16 | 14 | $0 |
Insurance plans in this area (ZIP 92856)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | ID | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | UT | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | ID |
Reviews
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