Active NPI 1629064746 Individual Practitioner Female Practitioner

Dr. Nicole Z Sommer , MD

Surgery - Plastic and Reconstructive Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Sommer, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Springfield, IL. With approximately 30 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1996, Dr. Sommer delivers high-quality medical care to the local community at 747 N RUTLEDGE ST.

Dr. Sommer is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St

Springfield, IL 627026700

Telephone 2175456314

Fax 2175452588

Associated Practice Facility / Clinic

🏢 Central Illinois Hematology Oncology Center Pc Facility NPI 1750306692

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +11.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Springfield, IL (138 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sommer (30 Years) 30 Yrs

Springfield Specialty Average (18.2 Years) 18.2 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$156.57	$53.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$160.00	$54.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$321.00	$109.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$81.00	$54.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$212.00	$110.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$212.00	$106.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$81.00	$44.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	18	$81.00	$43.76
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$138.00	$71.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$212.00	$106.34
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$143.00	$72.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$143.00	$68.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$212.00	$104.90
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$138.00	$72.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$143.00	$70.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$81.00	$41.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$212.00	$104.55

Medical Specialties & State Licenses

CMS Verified: 2020-12-07

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IL 036108365

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036108365 (IL)

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

751 N Rutledge St, Springfield, IL 627024968

Phone: 2175458000

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Sara Kebede , MD, MSCR

Plastic Surgery

NPI 1043988306

Doctor of Medicine (M.D.), MSCR

Dr. Kayvon Jabbari , MD

Plastic Surgery

NPI 1063263176

Doctor of Medicine (M.D.)

Dr. Michael Romanelli , MD

Plastic Surgery

NPI 1174016950

Doctor of Medicine (M.D.)

Kristin Blankenship , PA

Physician Assistant - Surgical

NPI 1174634562

Physician Assistant

Danielle Oros , FNP-BC

Nurse Practitioner - Family

NPI 1265927313

Family Nurse Practitioner (Board Certified)

Dr. Michael Neumeister , MD

Plastic Surgery - Surgery of the Hand

NPI 1326034448

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2020

Surgery (License #036108365 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 747 N RUTLEDGE ST, SPRINGFIELD, IL 627026700 (Tel: 2175456314)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175457578)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NICOLE SOMMER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery

🟢

Initial NPI Registration & Enumeration September 23, 2005

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. Nicole Sommer. 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: 1629064746

Entity Type:

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

Enumeration Date: September 23, 2005

Last Update: December 07, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175457578

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.