Sydney Summers
NPI 1104398023ActiveIndividual· Physician Assistant· Orange Park, FL
Physician Assistant with University of Texas Southwestern Medical Center at Dallas, practicing in Orange Park, Florida. 43 Medicare patients in 2024, $3,931 paid; all of their 269 Part D prescriptions were generic. Lists Ut of Texas Southwestern University Hospital - William P. Clements Jr. as a hospital affiliation.
Overview
| NPI | 1104398023 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 18, 2018 |
| Last updated in NPPES | Jan 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 9111854 | FL |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 55 across 12 procedure codes |
| Paid by Medicare | $3,931 |
Part D prescriptions in 2024
| Prescriptions (claims) | 269 · 298 30-day fills |
|---|---|
| Patients | 100 |
| Total drug cost | $3,227 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- University of Texas Southwestern Medical Center at DallasDallas, TX · 3,187 clinicians
Hospital affiliation
Other facilities
- Baylor Scott & White Institute for RehabilitationInpatient rehabilitation facility · Dallas, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 50 physician assistants in Orange Park · All physician assistants in Florida