NPPES file of Aug 9, 2026

Andrew Ivan Sumich, MD

Physical Medicine & Rehabilitation Physician · Charlotte, NC

Andrew Ivan Sumich, MD is a physical medicine & rehabilitation physician with a practice address in Charlotte, North Carolina, and NPI 1285609719, issued on Feb 20, 2006. Check the license (North Carolina 2005-00441, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1285609719
Name
Andrew Ivan Sumich
Credential
MD
Primary taxonomy
Physical Medicine & Rehabilitation Physician 208100000X
License number
2005-00441 NC
Self-reported in NPPES; status is on the state search
Practice location
225 Baldwin Ave, Charlotte, NC 28204
Phone
(704) 376-1605
Enumerated
Feb 20, 2006
Record last updated
Nov 11, 2024
Fax
(704) 335-8448
Medicaid IDs
5900887 NC
N0044K SC
Medicare enrollment
Enrolled (PECOS I20050525000408); accepts Medicare assignment
Medical or professional school
Louisiana State University School Of Medicine In New Orleans, 2001
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 225 Baldwin Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tim Adamson, MDNeurological Surgery Physician1326046236
  2. Peter Bailey, M.D.Physical Medicine & Rehabilitation Physician1982617502
  3. Samantha Bane, DPTPhysical Therapist1659092567
  4. Jackson Bellis, DPTPhysical Therapist1841429651
  5. Joe Bernard, MDNeurological Surgery Physician1851399687
  6. Michael Bohl, MDNeurological Surgery Physician1073952974

Verify Andrew Ivan Sumich in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 2005-00441
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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50% more Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024

1,094 Medicare Part D claims for 270 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. 446 claims were for opioids.

  1. Andrew Sumich1,094
  2. Specialty average727

Most prescribed

  1. Hydrocodone-Acetaminophen205 claims
  2. Gabapentin181 claims
  3. Tramadol Hcl137 claims
  4. Methylprednisolone131 claims
  5. Oxycodone-Acetaminophen86 claims
  6. Tizanidine Hcl60 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $27,175.93

63 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Andrew Sumich$27,176
  2. Specialty average$1,238

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 3 group practices

  1. Atrium Health Neurospine Network LLCCharlotte, NC
  2. Carolina Neurosurgery And Spine Associates PACharlotte, NC
  3. Select Physical Therapy Holdings IncDenver, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Andrew Ivan Sumich among 423 physical medicine & rehabilitation physician records in North Carolina

Andrew Ivan Sumich, MD is one of 423 physical medicine & rehabilitation physician records with a practice address in North Carolina. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 71% newer
  • In a Medicare fileYes · 64% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated2001 · median 2007 among the 245 with a school on file
  • Record last updated2024 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Medicine & Rehabilitation Physician providers in North Carolina

There are 423 physical medicine & rehabilitation physician records in North Carolina.

The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes

  1. Peter Bailey, M.D.Charlotte, NC 282041982617502
  2. Leigh Comerci, DPTCharlotte, NC 282041053915942
  3. Sanjiv Lakhia, DOCharlotte, NC 282041700831351
  4. Scott Otis, M.D.Charlotte, NC 282041548244064
  5. Sameer Vemuri, MDCharlotte, NC 282041932138781
  6. John Welshofer, MDCharlotte, NC 282041508847781
  7. David Wiercisiewski, MDCharlotte, NC 282041679564074
  8. Zachary Bailowitz, MDCharlotte, NC 282031396157285

Common questions

What is Andrew Ivan Sumich, MD's NPI number?

Andrew Ivan Sumich, MD's National Provider Identifier (NPI) is 1285609719, issued on Feb 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Andrew Ivan Sumich, MD located?

The NPPES record lists a practice address at 225 Baldwin Ave, Charlotte, NC, 28204. Phone: (704) 376-1605. Providers update this record themselves, so call before visiting.

How can I verify Andrew Ivan Sumich, MD's license?

NPPES lists North Carolina license number 2005-00441, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Andrew Ivan Sumich, MD prescribe under Medicare Part D?

In 2024, Andrew Ivan Sumich, MD had 1,094 Medicare Part D claims for 270 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.

What is Andrew Ivan Sumich, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.