Active NPI 1285818815 Individual Practitioner Male Practitioner

Mathew Kummerfeldt , PA-C

Physician Assistant • Shelton, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mathew Kummerfeldt, PA-C is a certified Physician Assistant practicing in Shelton, WA. With approximately 19 years of clinical experience since completing medical education in 2007, Mathew Kummerfeldt delivers high-quality medical care to the local community at 1701 N 13TH ST.

Mathew Kummerfeldt is affiliated with Public Hospital District No 1 Of Mason County and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 N 13th St

Shelton, WA 985842077

Telephone 3604262653

Fax 8889850681

Associated Practice Facility / Clinic

🏢 Public Hospital District No 1 Of Mason County Facility NPI 1063658953

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Shelton, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +11.5 yrs vs City Avg

City Avg: 7.5 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

14 Specialists

Practicing in Shelton, WA (3774 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kummerfeldt (19 Years) 19 Yrs

Shelton Specialty Average (7.5 Years) 7.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	114	88	$170.00	$77.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	70	$240.00	$110.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$300.00	$113.35
G0444 Annual depression screening, 5 to 15 minutes	30	30	$26.00	$16.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	281	178	$170.00	$64.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	166	$240.00	$93.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	66	$325.00	$125.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$300.00	$99.24
G0444 Annual depression screening, 5 to 15 minutes	64	64	$26.00	$15.62
36415 Insertion of needle into vein for collection of blood sample	52	47	$11.00	$2.97
90662 Influenza vaccine split virus, preservative free	52	52	$65.00	$60.98
G0008 Administration of influenza virus vaccine	51	51	$40.00	$17.02
69210 Removal of impacted ear wax	16	14	$100.00	$40.13
G0009 Administration of pneumococcal vaccine	16	16	$40.00	$16.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$145.00	$119.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	190	$170.00	$63.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	165	$240.00	$92.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	101	101	$300.00	$99.45
G0444 Annual depression screening, 5 to 15 minutes	95	95	$26.00	$15.49
36415 Insertion of needle into vein for collection of blood sample	88	71	$11.00	$2.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	61	$325.00	$124.66
G0008 Administration of influenza virus vaccine	52	52	$40.00	$16.68
90662 Influenza vaccine split virus, preservative free	38	38	$60.00	$54.89
80053 Blood test, comprehensive group of blood chemicals	20	20	$21.00	$11.51
G0009 Administration of pneumococcal vaccine	18	18	$40.00	$16.68
J1040 Injection, methylprednisolone acetate, 80 mg	16	14	$20.00	$12.13
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	16	$27.00	$7.93
17110 Destruction of up to 14 skin growths	15	14	$189.00	$95.60
83721 Ldl cholesterol level	14	14	$34.00	$9.65
80061 Blood test, lipids (cholesterol and triglycerides)	14	14	$51.00	$13.54
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	14	14	$28.57	$26.14
20610 Aspiration and/or injection of fluid from large joint	13	11	$125.00	$51.84
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$65.00	$14.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$300.00	$146.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	317	166	$170.00	$61.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	164	$240.00	$92.02
36415 Insertion of needle into vein for collection of blood sample	207	137	$11.00	$2.93
80053 Blood test, comprehensive group of blood chemicals	174	128	$21.00	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	136	120	$27.00	$9.35
80061 Blood test, lipids (cholesterol and triglycerides)	112	101	$51.00	$16.09
83721 Ldl cholesterol level	110	99	$34.00	$11.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$300.00	$99.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	82	72	$325.00	$124.06
G0444 Annual depression screening, 5 to 15 minutes	68	68	$26.00	$15.37
83036 Hemoglobin A1C level	55	32	$24.00	$11.75
G0008 Administration of influenza virus vaccine	47	46	$40.00	$20.58
84153 Psa (prostate specific antigen) measurement, total	43	41	$45.00	$22.26
G0009 Administration of pneumococcal vaccine	37	37	$40.00	$20.58
G0103 Prostate cancer screening; prostate specific antigen test (psa)	35	35	$45.00	$22.26
90662 Influenza vaccine split virus, preservative free	30	30	$55.00	$52.30
84443 Blood test, thyroid stimulating hormone (TSH)	28	23	$38.00	$20.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	12	$120.00	$37.50
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	23	23	$14.00	$13.72
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$145.00	$100.31
90670 Pneumococcal vaccine for injection into muscle	18	18	$225.00	$199.65
69210 Removal of impacted ear wax	17	15	$100.00	$38.20
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$65.00	$14.53
17110 Destruction of up to 14 skin growths	14	11	$189.00	$96.27
81002 Urinalysis, manual test	14	14	$10.00	$3.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$300.00	$146.32
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	11	$25.83	$23.57
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	11	11	$30.00	$19.25

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	312	170	$240.00	$90.86
99213 Established patient office or other outpatient visit, typically 15 minutes	280	167	$170.00	$61.81
36415 Insertion of needle into vein for collection of blood sample	171	128	$11.00	$2.92
80053 Blood test, comprehensive group of blood chemicals	134	114	$21.00	$8.17
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	117	105	$27.00	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	95	95	$51.00	$15.96
83721 Ldl cholesterol level	93	93	$34.00	$12.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$300.00	$97.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	74	67	$325.00	$122.09
G0008 Administration of influenza virus vaccine	64	64	$40.00	$25.46
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	59	59	$25.00	$23.15
G0103 Prostate cancer screening; prostate specific antigen test (psa)	49	49	$45.00	$24.73
G0009 Administration of pneumococcal vaccine	42	42	$40.00	$24.85
83036 Hemoglobin A1C level	42	27	$24.00	$13.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$145.00	$90.65
81002 Urinalysis, manual test	30	21	$10.00	$3.43
G0444 Annual depression screening, 5 to 15 minutes	25	25	$26.00	$15.28
84443 Blood test, thyroid stimulating hormone (TSH)	24	22	$38.00	$22.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	12	$120.00	$36.93
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	22	22	$14.00	$13.72
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$300.00	$144.18
84153 Psa (prostate specific antigen) measurement, total	19	16	$45.00	$24.73
J1040 Injection, methylprednisolone acetate, 80 mg	19	11	$20.00	$10.90
69210 Removal of impacted ear wax	18	16	$100.00	$41.57
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	14	14	$34.00	$19.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$250.00	$128.55
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening	11	11	$25.00	$18.42
90670 Pneumococcal vaccine for injection into muscle	11	11	$225.00	$182.60

Medical Specialties & State Licenses

CMS Verified: 2024-02-21

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8502049 (WA)

Commercial Insurance / Payer ID L&i

0275126 (WA)

Commercial Insurance / Payer ID State Crime Victims

8946032 (WA)

Commercial Insurance / Payer ID L&i

0273939 (WA)

Commercial Insurance / Payer ID State L&i

0228031 (WA)

Commercial Insurance / Payer ID L&i

0275142 (WA)

Commercial Insurance / Payer ID Railroad

P00610661 (WA)

Hospital & Practice Group Affiliations

Public Hospital District No 1 Of Mason County

901 Mountain View Dr, Shelton, WA 985844401

Phone: 3604261611

Public Hospital District No 1 Of Mason County

901 Mountain View Dr, Shelton, WA 985844401

Phone: 3604273625

Public Hospital District No 1 Of Mason County

1812 N 13th Loop Rd, Shelton, WA 985842169

Phone: 3604262653

Public Hospital District No 1 Of Mason County

2300 Kati Ct, Shelton, WA 985841926

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Darren Cuevas , DO

Family Medicine

NPI 1023497310

Doctor of Osteopathic Medicine (D.O.)

Dr. Carlos Rubio-Reyes , MD

Family Medicine

NPI 1033525852

Doctor of Medicine (M.D.)

Charles Anderegg , PA-C

Physician Assistant - Surgical

NPI 1124056437

Physician Assistant (Certified)

Vanessa Cray , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154969202

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Trevor Kwan , DO

Family Medicine

NPI 1184144768

Doctor of Osteopathic Medicine (D.O.)

Dr. Nikki Ann Medina , DO

Obstetrics & Gynecology

NPI 1194392589

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 21, 2024

Registered at 1701 N 13TH ST, SHELTON, WA 985842077 (Tel: 3604262653)

📍

Updated Business Mailing Address February 21, 2024

Registered at PO BOX 1668, SHELTON, WA 985845001 (Tel: 3604262653)

✅

NPI Profile Active November 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2014

Registered at 4700 PT FOSDICK DR. NW, SUITE 220, GIG HARBOR, WA 983351706 (Tel: 2534266341)

📍

Updated Business Mailing Address November 04, 2014

Registered at 4700 PT FOSDICK DR. NW, SUITE 220, GIG HARBOR, WA 983351706 (Tel: 2538515121)

👤

Provider Name / Credentials Updated November 04, 2014

Recorded as MATHEW KUMMERFELDT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2014

Physician Assistant

🟢

Initial NPI Registration & Enumeration December 18, 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: 1285818815

Entity Type:

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

Enumeration Date: December 18, 2007

Last Update: February 21, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1668

Shelton, WA 985845001

Phone: 3604262653

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.