DR. SUMMER LEE DIXON (D.O.) – Emergency Medicine Physician, NPI 1679712533

DR. SUMMER LEE DIXON (D.O.) is a healthcare provider. based in Port orchard, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. S1072 (TX). The NPI Number for DR. SUMMER LEE DIXON (D.O.) is 1679712533

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUMMER LEE DIXON (D.O.)
NPI
1679712533
Phone
(630) 346-7754
Address
8879 SE MCBREEN LN
Enumeration Date
16 February 2009
Last Update Date
4 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9729818000
Graduation Year
2007 (19 years ago)
PAC ID
7911031661
Group Practice PAC ID
5890688212
Professional Enrollment ID
I20190605002708
Address ID
TX750938185PL6200XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for DR. SUMMER LEE DIXON (D.O.)

  • 8879 SE MCBREEN LN

    PORT ORCHARD, WA 983677935

    Phone: (630) 346-7754

    Type: Mailing

  • 6451 BRENTWOOD STAIR RD STE 200

    FT WORTH, TX 761123200

    Phone: (034) 525-5829

    Type: Mailing

  • 801 W INTERSTATE 20

    ARLINGTON, TX 760175851

    Phone: (817) 472-3400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Boston Scientific Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190605002708IEmergency MedicineTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making110110$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8378$0
99284Emergency department visit with moderate level of medical decision making4949$0
99283Emergency department visit with low level of medical decision making1413$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 98367)

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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: 5890688212View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineLA
-TX
Emergency MedicineHI
Nurse PractitionerTX
Nurse PractitionerTX
Emergency Medicine, Family PracticeTX
Emergency MedicineTX
Emergency MedicineOK
-TX

Reviews

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Frequently asked questions

How is DR. SUMMER LEE DIXON (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. SUMMER LEE DIXON (D.O.) with NPI 1679712533.
Does the file indicate DR. SUMMER LEE DIXON (D.O.) is practicing under active NPI?
Directory data currently reports DR. SUMMER LEE DIXON (D.O.) as active.
What is DR. SUMMER LEE DIXON (D.O.)'s specialty?
The listing groups DR. SUMMER LEE DIXON (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SUMMER LEE DIXON (D.O.) based?
DR. SUMMER LEE DIXON (D.O.) is tied to Port Orchard, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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