ANDREW JOHN SUMNICHT (MD) – Ophthalmology Physician, NPI 1306335435
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
Provider Addresses for ANDREW JOHN SUMNICHT (MD)
21827 76TH AVE W STE 102
EDMONDS, WA 980267981
Phone: (425) 778-2500
Type: Mailing
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 923542804
Phone: (909) 558-4074
Type: Mailing
1101 MADISON ST STE 600
SEATTLE, WA 981041340
Phone: (206) 215-2020
Fax: (206) 215-2022
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $1,241.
Total Amount is formed as General ($1,241) + Research ($0) + Ownership ($0) = $1,241.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Glaukos Corporation ($298).
Total Amount
$1,241
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,241
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $298 |
| Sun Pharmaceutical Industries Inc. | $166 |
| Sight Sciences, Inc. | $161 |
| RxSight Inc | $146 |
| Carl Zeiss Meditec USA, Inc. | $129 |
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: 2022-09-01
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 |
|---|---|---|---|---|
| I20220901002574 | I | Ophthalmology | WA | 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 | 220 | 160 | $0 |
| 92014 | Established patient complete exam of visual system | 175 | 167 | $0 |
| 92134 | Imaging of retina | 136 | 100 | $0 |
| 92004 | New patient complete exam of visual system | 104 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 83 | $0 |
Insurance plans in this area (ZIP 98026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA |
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