TODD CLARK SOMMER (DO) – Family Medicine Physician, NPI 1285668426
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,050 FAMILY PRACTICE in WI
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Provider Addresses for TODD CLARK SOMMER (DO)
1715, Dousman Street, Green Bay, Brown County, Wisconsin, 54303, United States
GREEN BAY, WI 543033211
Phone: (920) 496-4700
Fax: (920) 496-4749
Type: Location
134 Medical Park Rd Ste 108
Mooresville, NC 281178527
Phone: (704) 799-6230
Type: Location
1715 Dousman St
Green Bay, WI 543033211
Phone: (920) 496-4700
Fax: (920) 496-4749
Type: Location
218 OLD MOCKSVILLE RD
STATESVILLE, NC 286251930
Phone: (704) 838-7461
Fax: (704) 838-7467
Type: Location
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
PREVEA HEALTH
GREEN BAY, WI 543079070
Phone: (920) 496-4700
Fax: (920) 496-4749
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $741.
Total Amount is formed as General ($741) + Research ($0) + Ownership ($0) = $741.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($261).
Total Amount
$741
General + Research + Ownership
Payments
26
Total payment records
General Amount
$741
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $261 |
| Kerecis Limited | $170 |
| Organogenesis Inc. | $126 |
| Next Science LLC | $49 |
| Avita Medical Americas, Llc | $31 |
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: 2021-10-13
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 |
|---|---|---|---|---|
| I20211013002297 | I | Family Practice | NC | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 311 | 75 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 119 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 49 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 31 | 11 | $0 |
Insurance plans in this area (ZIP 54303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WI | 73630 | X-ray of foot, minimum of 3 views | 85 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | OK | |
| - | NC | |
| - | NC | |
| Nurse Practitioner | NC | |
| Physician Assistant | NC | |
| - | NC | |
| - | NC | |
| General Surgery | NC |
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