Robert Todd Sumpter , PA-C
Physician Assistant • American Fork, UT
1184 E 80 N
American Fork, UT 840032906
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Robert Sumpter is listed in NPPES under Physician Assistant.
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NPI assigned on March 23, 2007; this date does not establish years in practice.
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Published CMS data list 767 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J0702 — Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg: 158 service units.
- 20610 — Aspiration and/or injection of fluid from large joint: 111 service units.
- 99213 — Established patient outpatient office visit: 93 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,178 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Celecoxib — 326 prescription fills, including refills.
- Oxycodone Hcl — 223 prescription fills, including refills.
- Amoxicillin — 184 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Physician Assistant in American Fork, UT (2024, 28 clinicians with data). Median for this group: 216. Middle half: 117 to 274.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Utah (2024, 970 clinicians with data). Median for this group: 204. Middle half: 86 to 427.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 630 in 2020 to 767 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1184 E 80 N
American Fork, UT 840032906
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Lehi, UT. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Revere Health Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2004
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
202 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $44,586 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $32,187 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,705 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$28,518 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $14.42 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
22 years (graduated 2004)
CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Robert Sumpter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Robert Sumpter as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in American Fork and Utah
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in American Fork, UT (2024, 28 clinicians with data). Median for this group: 216. Middle half: 117 to 274.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Utah (2024, 970 clinicians with data). Median for this group: 204. Middle half: 86 to 427.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in American Fork, UT (2024, 28 clinicians with data). Median for this group: $12,277. Middle half: $6,970 to $15,095.
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Utah (2024, 970 clinicians with data). Median for this group: $13,612. Middle half: $6,043 to $25,444.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in American Fork, UT (2024, 28 clinicians with data). Median for this group: $8,519. Middle half: $4,818 to $10,816.
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Utah (2024, 970 clinicians with data). Median for this group: $9,927. Middle half: $4,164 to $19,283.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in American Fork, UT (2024, 23 clinicians with data). Median for this group: 206. Middle half: 94 to 800.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Utah (2024, 1,033 clinicians with data). Median for this group: 258. Middle half: 71 to 842.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in American Fork, UT (2024, 23 clinicians with data). Median for this group: $4,135. Middle half: $1,394 to $27,734.
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Utah (2024, 1,033 clinicians with data). Median for this group: $7,285. Middle half: $798 to $79,157.
42 active clinicians are listed under Physician Assistant with a practice address in American Fork, UT (1,887 in Utah).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in American Fork
19% of these 42 clinicians have the CMS telehealth indicator.
81% of these 42 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 22% from 630 in 2020 to 767 in 2024.
- 2020: 630
- 2021: 694
- 2022: 878
- 2023: 771
- 2024: 767
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $42,907 in 2020 and $44,586 in 2024.
- 2020: $42,907
- 2021: $53,513
- 2022: $60,049
- 2023: $50,314
- 2024: $44,586
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Paid by Medicare
Paid by Medicare varied from year to year: $30,123 in 2020 and $32,187 in 2024.
- 2020: $30,123
- 2021: $39,942
- 2022: $43,864
- 2023: $37,656
- 2024: $32,187
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 159% from 455 in 2020 to 1,178 in 2024.
- 2020: 455
- 2021: 585
- 2022: 908
- 2023: 1,000
- 2024: 1,178
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30-day fills
30-day fills increased 178% from 613 in 2020 to 1,705 in 2024.
- 2020: 613
- 2021: 742
- 2022: 1,101
- 2023: 1,396
- 2024: 1,705
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Part D drug cost
Part D drug cost increased 107% from $13,747 in 2020 to $28,518 in 2024.
- 2020: $13,747
- 2021: $18,645
- 2022: $28,170
- 2023: $28,578
- 2024: $28,518
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $48.65 in 2021 to $14.42 in 2023.
- 2021: $48.65
- 2022: $53.84
- 2023: $14.42
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $14.42.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
EUFLEXXA | General | $14.42 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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158 | 37 | $12.00 | $7.03 |
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20610
Aspiration and/or injection of fluid from large joint
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111 | 46 | $177.97 | $53.03 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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93 | 67 | $152.81 | $73.31 |
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73562
X-ray of knee, 3 views
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81 | 61 | $118.62 | $31.87 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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65 | 60 | $215.57 | $103.55 |
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73502
X-ray of hip, 2-3 views
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48 | 39 | $132.17 | $35.69 |
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73564
X-ray of knee, 4 or more views
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45 | 31 | $137.91 | $37.32 |
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J7323
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
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43 | 11 | $141.63 | $84.01 |
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27447
Replacement of knee joint, both sides of knee
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40 | 40 | $1601.00 | $162.52 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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25 | 25 | $1497.00 | $155.82 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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16 | 16 | $187.88 | $89.99 |
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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
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16 | 15 | $34.56 | $13.35 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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14 | 14 | $281.57 | $135.22 |
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73522
X-ray of both hips, 3-4 views
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12 | 12 | $157.50 | $42.56 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Celecoxib | Celecoxib | 326 | 24,122 | $9,072.68 | 184 |
| Oxycodone Hcl | Oxycodone Hcl | 223 | 1,263 | $1,764.43 | 115 |
| Amoxicillin | Amoxicillin | 184 | 987 | $614.54 | 136 |
| Ondansetron Odt | Ondansetron | 113 | 778 | $1,322.11 | 105 |
| Tramadol Hcl | Tramadol Hcl | 87 | 702 | $918.16 | 41 |
| Meloxicam | Meloxicam | 51 | 2,945 | $402.07 | 29 |
| Ondansetron Hcl | Ondansetron Hcl | 42 | 288 | $256.20 | 40 |
| Clindamycin Hcl | Clindamycin Hcl | 29 | 153 | $127.16 | 24 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 28 | 165 | $404.19 | 16 |
| Methylprednisolone | Methylprednisolone | 28 | 168 | $257.94 | 27 |
| Eliquis | Apixaban | 21 | 650 | $12,611.86 | 21 |
| Cephalexin | Cephalexin | 12 | 89 | $164.01 | 12 |
| Nabumetone | Nabumetone | 12 | 330 | $93.56 | — |
| Naproxen Sodium | Naproxen Sodium | 11 | 330 | $375.56 | — |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 11 | 88 | $133.84 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-02-06NUCC 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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20111219000568
UT
0244405389
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant - Surgical
Physician Assistant (Certified)
Physician Assistant - Surgical
Podiatrist - Foot Surgery
Doctor of Podiatric Medicine
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)
NPI status registered as active in NPPES database
Registered at 1184 E 80 N, AMERICAN FORK, UT 840032906 (Tel: 8017633885)
Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8017633885)
Recorded as ROBERT SUMPTER, PA-C
Physician Assistant (license number reported to NPPES: UT 3085301-1206)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in American Fork
- Breanna Call, PA-C
- Shannon Peck, PA-C
- Adam Gardner, MPAS, PA-C
- Kalarelyn Eberting, PA-C
- Danelle Schmutz, PA-C
- Steven Ruiz, PA-C
Mailing Address
1055 N 500 W, Attn: Credentialing
Provo, UT 846043305
Phone: 8013548225