Active NPI 1023305802 Individual Practitioner Male Practitioner

Dr. Sumair Akhtar , MD

Internal Medicine • Lehighton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sumair Akhtar, MD is a certified Internal Medicine practicing in Lehighton, PA. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Akhtar delivers high-quality medical care to the local community at 500 ST LUKES DR.

Dr. Akhtar is affiliated with St Lukes Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 St Lukes Dr

Lehighton, PA 182355000

Telephone 4845266643

Fax 6103774785

Associated Practice Facility / Clinic

🏢 St Luke's Physician Group Inc Facility NPI 1134151244

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lehighton, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -11.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Lehighton, PA (7609 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Akhtar (15 Years) 15 Yrs

Lehighton Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	516	255	$144.12	$77.91
99239 Hospital discharge day management, more than 30 minutes	238	218	$213.35	$112.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	179	173	$407.30	$170.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	24	$237.50	$52.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	511	227	$139.93	$77.36
99239 Hospital discharge day management, more than 30 minutes	231	219	$207.04	$111.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	210	190	$395.97	$167.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	26	$230.50	$50.41
99497 Advance care planning, first 30 minutes	17	17	$171.82	$73.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$286.50	$127.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	763	318	$135.89	$69.79
99239 Hospital discharge day management, more than 30 minutes	258	237	$201.14	$102.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	92	90	$383.38	$194.65
99220 Hospital observation care, typically 70 minutes	61	60	$349.74	$175.64
99217 Hospital observation care on day of discharge	58	58	$147.86	$70.04
99497 Advance care planning, first 30 minutes	19	17	$166.95	$76.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$224.42	$51.82
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	15	15	$412.00	$208.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	677	297	$132.61	$71.08
99239 Hospital discharge day management, more than 30 minutes	316	284	$196.11	$104.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	140	39	$86.00	$38.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	113	110	$374.22	$197.95
99220 Hospital observation care, typically 70 minutes	81	79	$341.32	$178.28
99217 Hospital observation care on day of discharge	72	69	$144.33	$69.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	28	$218.62	$52.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$270.00	$130.40
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	21	21	$402.29	$212.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	553	256	$129.19	$72.73
99239 Hospital discharge day management, more than 30 minutes	268	244	$191.09	$107.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	138	$366.19	$203.87
99220 Hospital observation care, typically 70 minutes	67	64	$332.37	$186.28
99217 Hospital observation care on day of discharge	51	50	$140.88	$72.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	34	$212.23	$52.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	21	$89.09	$39.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$263.71	$138.79
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	19	19	$394.32	$219.05
99238 Hospital discharge day management, 30 minutes or less	13	13	$129.46	$69.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	575	254	$125.10	$72.07
99239 Hospital discharge day management, more than 30 minutes	237	212	$184.58	$105.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	135	$355.74	$200.47
99220 Hospital observation care, typically 70 minutes	80	76	$323.15	$179.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	31	$81.10	$39.05
99217 Hospital observation care on day of discharge	47	47	$136.02	$72.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	33	$205.68	$51.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$255.67	$135.74
99225 Subsequent observation care, typically 25 minutes per day	11	11	$104.09	$72.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	537	252	$170.39	$71.54
99239 Hospital discharge day management, more than 30 minutes	224	206	$241.33	$105.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	141	$458.78	$200.09
99220 Hospital observation care, typically 70 minutes	73	73	$397.44	$181.28
99217 Hospital observation care on day of discharge	57	56	$188.67	$71.84
99225 Subsequent observation care, typically 25 minutes per day	31	26	$197.35	$69.85
99497 Advance care planning, first 30 minutes	31	31	$231.00	$78.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	12	$100.60	$38.73
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$189.80	$100.16
99238 Hospital discharge day management, 30 minutes or less	12	12	$169.50	$71.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$310.92	$126.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	483	211	$185.23	$69.62
99239 Hospital discharge day management, more than 30 minutes	173	161	$272.12	$103.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	130	$487.29	$195.55
99217 Hospital observation care on day of discharge	68	64	$196.91	$68.23
99220 Hospital observation care, typically 70 minutes	65	61	$413.46	$174.90
99225 Subsequent observation care, typically 25 minutes per day	41	26	$193.66	$70.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	11	$158.79	$100.68
99497 Advance care planning, first 30 minutes	16	16	$231.00	$74.10

Medical Specialties & State Licenses

CMS Verified: 2025-08-08

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA 453581

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NY 277562

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

St Lukes Physician Group Inc

1021 Park Ave, Quakertown, PA 189510130

Phone: 2155384500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Jyothi Kudakandira , MD

Internal Medicine

NPI 1003073784

Doctor of Medicine (M.D.)

Dr. Hasan Bayat , MD

Internal Medicine

NPI 1003106113

Doctor of Medicine (M.D.)

Dr. Hazem Fahmy , MD

Family Medicine

NPI 1013206598

Doctor of Medicine (M.D.)

Chelsea Ritter , PA-C

Physician Assistant

NPI 1023632874

Physician Assistant (Certified)

Patrick Newins , MSN, FNP-C

Nurse Practitioner

NPI 1053285460

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Kelly Martorano , ACNP

Nurse Practitioner - Acute Care

NPI 1053696815

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location August 08, 2025

Registered at 500 ST LUKES DR, LEHIGHTON, PA 182355000 (Tel: 4845266643)

📍

Updated Business Mailing Address August 08, 2025

Registered at 500 ST LUKES DR, LEHIGHTON, PA 182355000 (Tel: 4845266643)

✅

NPI Profile Active December 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 16, 2016

Registered at 211 N 12TH ST, LEHIGHTON, PA 182351138 (Tel: 6103777174)

📍

Updated Business Mailing Address December 16, 2016

Registered at 211 N 12TH ST, LEHIGHTON, PA 182351138 (Tel: 6103777174)

👤

Provider Name / Credentials Updated December 16, 2016

Recorded as SUMAIR AKHTAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2016

Internal Medicine (License #277562 in NY)

🟢

Initial NPI Registration & Enumeration June 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Sumair Akhtar. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1023305802

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2011

Last Update: August 08, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

500 St Lukes Dr

Lehighton, PA 182355000

Phone: 4845266643

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.