DR. JOHN WILLIAM SUMMERVILLE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1982604120

DR. JOHN WILLIAM SUMMERVILLE (MD) is a healthcare provider. based in Petersburg, Virginia. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials MD. They hold a License No. 0101041829 (VA). The NPI Number for DR. JOHN WILLIAM SUMMERVILLE (MD) is 1982604120

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN WILLIAM SUMMERVILLE (MD)
NPI
1982604120
Phone
(804) 765-5000
Address
200 Medical Park Blvd
Enumeration Date
29 July 2005
Last Update Date
10 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6152214474
Graduation Year
1984 (42 years ago)
PAC ID
7719011071
Group Practice PAC ID
0648167544
Professional Enrollment ID
I20100823000553
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. JOHN WILLIAM SUMMERVILLE (MD)

  • 200 Medical Park Blvd

    Petersburg, VA 238059274

    Phone: (804) 765-5000

    Type: Location

  • Virginia Way, Iroquois Estates, Brentwood, Williamson County, Tennessee, 37027, United States

    BRENTWOOD, TN 370277542

    Phone: (615) 221-4400

    Type: Mailing

  • Southside Regional Medical Center, 200, Medical Park Boulevard, Pinehill Plaza, Lakewood, Petersburg, Virginia, 23805, United States

    PETERSBURG, VA 23805

    Phone: (615) 221-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity456267$0
88341Special stained specimen slides to examine tissue, each additional procedure23564$0
88342Special stained specimen slides to examine tissue, initial procedure10797$0
88360Microscopic genetic analysis of tumor, manual6224$0
88307Pathology examination of tissue using a microscope, moderately high complexity6150$0
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Insurance plans in this area (ZIP 23805)

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Provider's Procedures

DR. JOHN WILLIAM SUMMERVILLE (MD) performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYVA88312Special stained specimen slides to identify organisms including interpretation and report4840

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648167544View full group profile
NameSpecialtyState
P A T H O L O G YTN
-TN
P A T H O L O G YIL
P A T H O L O G YSC
P A T H O L O G YTN
P A T H O L O G YAL
P A T H O L O G YTN
P A T H O L O G YKY
P A T H O L O G YMO
-TN

Reviews

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Frequently asked questions

Does DR. JOHN WILLIAM SUMMERVILLE (MD) have a public NPI I can cite?
Public records show DR. JOHN WILLIAM SUMMERVILLE (MD) under NPI 1982604120.
Does the public listing show DR. JOHN WILLIAM SUMMERVILLE (MD) as active?
DR. JOHN WILLIAM SUMMERVILLE (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. JOHN WILLIAM SUMMERVILLE (MD)'s specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for DR. JOHN WILLIAM SUMMERVILLE (MD). Clinical services aligned with this taxonomy classification.
Is DR. JOHN WILLIAM SUMMERVILLE (MD) tied to Petersburg, Virginia?
If you are local to Petersburg, Virginia, DR. JOHN WILLIAM SUMMERVILLE (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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