Todd Sommer, DO
NPI 1285668426 · Family Medicine Physician · Statesville, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Todd Sommer, DO is a Family Medicine Physician provider in Statesville, NC (NPI 1285668426).
Provider details
- NPI number
- 1285668426
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 40925 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
922 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 371 | $54 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 128 | $62 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less11045 | 117 | $23 |
| 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'SG2211 | 88 | $15 |
| 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 Less15271 | 51 | $76 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Monohydrate | 58 | 42 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 11 |
| Levofloxacin | 19 | 12 |
| Tobramycin Sulfate | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$412 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 134 Medical Park Rd Ste 108Mooresville, NC 28117-8527Phone: (704) 799-6230
- 1715 Dousman StGreen Bay, WI 54303-3211Phone: (920) 496-4700Fax: (920) 496-4749
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Frequently asked questions
- What is Todd Sommer's NPI number?
- Todd Sommer's National Provider Identifier (NPI) is 1285668426, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Todd Sommer's specialty?
- Todd Sommer is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Todd Sommer located?
- Todd Sommer's practice location on file with NPPES is 218 Old Mocksville Rd, Statesville, NC 28625-1930.
- What is Todd Sommer's phone number?
- The practice phone number listed in the NPPES registry for Todd Sommer is (704) 838-7461.
- Does Todd Sommer accept Medicare?
- Todd Sommer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Todd Sommer's NPI active?
- Yes — Todd Sommer's NPI (1285668426) is active in the NPPES registry as of the last update on 2022-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.