KEVIN S SUMSION (MD) – Obstetrics & Gynecology Physician, NPI 1255317053
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 OBSTETRICS/GYNECOLOGY in UT
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Provider Addresses for KEVIN S SUMSION (MD)
PO BOX 337
LAYTON, UT 840410337
Phone: (801) 773-4840
Fax: (801) 525-8151
Type: Mailing
1700 West, Evergreen Farms, Layton, Davis County, Utah, 84041, United States
LAYTON, UT 840418803
Phone: (801) 773-4840
Fax: (801) 525-8151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $768.
Total Amount is formed as General ($768) + Research ($0) + Ownership ($0) = $768.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Boston Scientific Corporation ($426).
Total Amount
$768
General + Research + Ownership
Payments
38
Total payment records
General Amount
$768
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $426 |
| ABBVIE INC. | $104 |
| Astellas Pharma US Inc | $84 |
| Organon LLC | $71 |
| SHIELD THERAPEUTICS INC | $24 |
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: 2004-01-17
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 |
|---|---|---|---|---|
| I20040117000231 | I | Obstetrics/Gynecology | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 23 | $0 |
| 87088 | Bacterial urine culture | 22 | 19 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 16 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 18 | 16 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 17 | 15 | $0 |
Insurance plans in this area (ZIP 84041)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | UT | 76830 | Ultrasound pelvis through vagina | 20 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| Internal Medicine, Endocrinology | UT | |
| Family Practice | UT | |
| - | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Physician Assistant | AZ | |
| Qualified Audiologist | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT |
Reviews
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