Active NPI 1316064421 Individual Practitioner Male Practitioner

Robert Todd Sumpter , PA-C

Physician Assistant • American Fork, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Sumpter, PA-C is a certified Physician Assistant practicing in American Fork, UT. With approximately 22 years of clinical experience since completing medical education in 2004, Robert Sumpter delivers high-quality medical care to the local community at 1184 E 80 N.

Robert Sumpter is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, aspiration and/or injection of fluid from large joint, established 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

1184 E 80 N

American Fork, UT 840032906

Telephone 8017633885

Fax 8017633887

Associated Practice Facility / Clinic

🏢 Human Performance Institute Pc Facility NPI 1053478826

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in American Fork, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +12.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

42 Specialists

Practicing in American Fork, UT (1904 Statewide)

Telehealth Adoption Rate

19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumpter (22 Years) 22 Yrs

American Fork Specialty Average (9.9 Years) 9.9 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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	158	37	$12.00	$7.03
20610 Aspiration and/or injection of fluid from large joint	111	46	$177.97	$53.03
99213 Established patient office or other outpatient visit, typically 15 minutes	93	67	$152.81	$73.31
73562 X-ray of knee, 3 views	81	61	$118.62	$31.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	60	$215.57	$103.55
73502 X-ray of hip, 2-3 views	48	39	$132.17	$35.69
73564 X-ray of knee, 4 or more views	45	31	$137.91	$37.32
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	43	11	$141.63	$84.01
27447 Replacement of knee joint, both sides of knee	40	40	$1601.00	$162.52
27130 Replacement of thigh bone and hip joint with prosthesis	25	25	$1497.00	$155.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$187.88	$89.99
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	16	15	$34.56	$13.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$281.57	$135.22
73522 X-ray of both hips, 3-4 views	12	12	$157.50	$42.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	126	35	$12.10	$6.42
20610 Aspiration and/or injection of fluid from large joint	105	49	$199.09	$58.59
99213 Established patient office or other outpatient visit, typically 15 minutes	103	85	$149.79	$73.02
73562 X-ray of knee, 3 views	86	58	$117.87	$32.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	68	$211.52	$102.73
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	67	17	$204.30	$125.62
73564 X-ray of knee, 4 or more views	66	48	$135.64	$36.45
73502 X-ray of hip, 2-3 views	65	50	$133.55	$36.54
27447 Replacement of knee joint, both sides of knee	41	39	$1601.00	$166.60
27130 Replacement of thigh bone and hip joint with prosthesis	26	26	$1497.50	$166.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$186.00	$90.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	134	41	$14.00	$6.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	98	$208.94	$104.62
99213 Established patient office or other outpatient visit, typically 15 minutes	111	91	$147.93	$73.41
20610 Aspiration and/or injection of fluid from large joint	95	58	$198.63	$59.94
73564 X-ray of knee, 4 or more views	92	67	$131.82	$35.63
73502 X-ray of hip, 2-3 views	86	61	$125.41	$34.79
73562 X-ray of knee, 3 views	63	51	$115.51	$32.12
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	47	16	$238.17	$130.24
27447 Replacement of knee joint, both sides of knee	44	42	$1601.00	$168.06
27130 Replacement of thigh bone and hip joint with prosthesis	43	42	$1505.55	$168.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$186.40	$91.38
73522 X-ray of both hips, 3-4 views	15	15	$154.00	$42.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$287.00	$136.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	104	$207.42	$106.60
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	104	33	$12.00	$7.18
20610 Aspiration and/or injection of fluid from large joint	92	47	$192.91	$59.54
73564 X-ray of knee, 4 or more views	62	47	$129.29	$36.35
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	60	15	$354.50	$135.46
73502 X-ray of hip, 2-3 views	50	44	$130.18	$36.37
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$146.20	$75.00
27447 Replacement of knee joint, both sides of knee	43	42	$1601.00	$167.75
73562 X-ray of knee, 3 views	42	32	$114.79	$32.27
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$1525.50	$170.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$281.83	$138.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$184.93	$92.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	99	45	$194.55	$56.50
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	94	31	$11.87	$6.96
99213 Established patient office or other outpatient visit, typically 15 minutes	93	80	$133.32	$62.02
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	75	19	$376.87	$134.07
73564 X-ray of knee, 4 or more views	57	42	$117.86	$34.49
73502 X-ray of hip, 2-3 views	45	39	$114.24	$33.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	31	$195.42	$89.79
27447 Replacement of knee joint, both sides of knee	29	25	$1610.52	$188.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$196.00	$89.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$81.08	$37.47
73562 X-ray of knee, 3 views	23	20	$105.48	$31.04
27130 Replacement of thigh bone and hip joint with prosthesis	23	22	$1527.52	$186.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	124	39	$11.00	$6.79
99213 Established patient office or other outpatient visit, typically 15 minutes	93	79	$122.95	$61.57
20610 Aspiration and/or injection of fluid from large joint	84	47	$231.43	$62.05
73564 X-ray of knee, 4 or more views	80	57	$112.39	$31.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	53	$181.86	$89.95
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	56	16	$376.00	$141.79
73502 X-ray of hip, 2-3 views	45	39	$115.36	$31.06
73562 X-ray of knee, 3 views	39	27	$101.79	$28.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$182.94	$90.66
27447 Replacement of knee joint, both sides of knee	33	33	$1656.64	$189.26
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$1550.85	$189.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$73.89	$37.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	68	25	$11.00	$7.17
20610 Aspiration and/or injection of fluid from large joint	64	39	$184.78	$52.57
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$122.00	$60.22
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	42	17	$376.00	$141.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$179.63	$88.92
73564 X-ray of knee, 4 or more views	38	32	$109.00	$30.37
73502 X-ray of hip, 2-3 views	36	34	$113.00	$31.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$181.00	$89.77
27447 Replacement of knee joint, both sides of knee	30	30	$1823.90	$181.90
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$1829.58	$186.51
73562 X-ray of knee, 3 views	16	14	$98.00	$26.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$72.00	$36.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$237.00	$115.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	86	29	$11.00	$6.63
20610 Aspiration and/or injection of fluid from large joint	85	47	$164.36	$48.61
99213 Established patient office or other outpatient visit, typically 15 minutes	66	60	$116.00	$59.94
73564 X-ray of knee, 4 or more views	51	42	$109.00	$31.77
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	47	19	$376.00	$151.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$172.00	$89.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$170.00	$88.32
27130 Replacement of thigh bone and hip joint with prosthesis	35	34	$1838.09	$185.90
73502 X-ray of hip, 2-3 views	34	33	$114.00	$33.16
27447 Replacement of knee joint, both sides of knee	29	27	$1594.79	$185.80
73562 X-ray of knee, 3 views	17	15	$98.00	$28.62

Medical Specialties & State Licenses

CMS Verified: 2020-02-06

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 3085301-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Revere Health Pc

1184 E 80, American Fork, UT 840032906

Phone: 8017633885

Secondary Practice Locations

3000 N Triumph Blvd Ste 100

Lehi, UT 840434999

Phone: 8017633885

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Mark Sanderson , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1073604609

Doctor of Medicine (M.D.)

Andrew Ward , PA

Physician Assistant

NPI 1093138976

Physician Assistant

Dr. Michael Callahan , MD

Orthopaedic Surgery

NPI 1104864651

Doctor of Medicine (M.D.)

Dr. Alan Banks , MD

Orthopaedic Surgery

NPI 1275553612

Doctor of Medicine (M.D.)

Kendra Parker

Physician Assistant - Surgical

NPI 1447209473

Christopher Wilcox , PA

Physician Assistant

NPI 1457860934

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 26, 2018

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

✅

NPI Profile Active August 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 13, 2014

Registered at 1184 E 80 N, AMERICAN FORK, UT 840032906 (Tel: 8017633885)

📍

Updated Business Mailing Address August 13, 2014

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8017633885)

👤

Provider Name / Credentials Updated August 13, 2014

Recorded as ROBERT SUMPTER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2014

Physician Assistant (License #3085301-1206 in UT)

🟢

Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316064421

Entity Type:

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

Enumeration Date: March 23, 2007

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Attn: Credentialing

Provo, UT 846043305

Phone: 8013548225

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.