DR. JOHN WILLIAM SUMMERVILLE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1982604120
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 456 | 267 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 235 | 64 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 107 | 97 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 62 | 24 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 61 | 50 | $0 |
Insurance plans in this area (ZIP 23805)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | VA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 48 | 40 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TN | |
| - | TN | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | SC | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | AL | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | KY | |
| P A T H O L O G Y | MO | |
| - | TN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.