Shaun Stephen Summerill, M.D.
NPI 1497807044ActiveIndividual· Pediatrics· Pocatello, ID
Pediatrics (M.D.) in Pocatello, Idaho, licensed in ID and WI, with an NPI issued in January 2007. Enrolled in Medicare as order and referring only - pediatric medicine.
Overview
| NPI | 1497807044 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 16, 2007 |
| Last updated in NPPES | Mar 17, 2025 |
| Certified by provider | Mar 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | M-11365 | ID |
| Pediatrics | 208000000X | 49001 | WI |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 49001 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Pediatric Medicine (ID) |
|---|
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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