Physician

Robert Jay Sommer, M.D.

According to 2025 Medicare claims, Robert Sommer, M.D. (NPI: 1316954514) practices adult congenital heart disease in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Westchester, NY. This provider's primary affiliated billing organization is TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK (NPI: 1861907321; TIN: 135598093) and primary practice location at 10708-3403. Sommer is affiliated with the NewYork Quality Care (ACO ID: A2571), participating under the MSSP model.

Sommer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 142 traditional Medicare patients, billed 370 HCPCS/CPT codes, and received $89,711 in Medicare payments. The top billing code was 33340 (Repair of left upper heart chamber with implant with review by radiologist). 2023 Part D data shows 14 prescription claims totaling $373 in drug costs. 2022 DME data shows 24 claims. Open Payments data shows 30 records totaling $121,054. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $19,398 and ending at $373. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	95	302	$50,253
2016	111	329	$56,654
2017	165	458	$102,199
2018	171	428	$98,320
2019	174	435	$98,887
2020	121	306	$71,560
2021	136	330	$81,004
2022	158	365	$85,969
2023	153	377	$92,342
2024	142	370	$89,711

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	11	90	$19,398
2016	N/R	27	$3,526
2017	N/R	28	$92,853
2018	N/R	30	$116,549
2019	N/R	22	$90,808
2020	N/R	13	$44,699
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	14	$373
2024	N/R	N/R	N/R

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	24	$863
2022	N/R	24	$910
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
33340	Repair of left upper heart chamber with implant with review by radiologist	45	45	$746
93303	Ultrasound of heart for congenital defect	33	40	$207
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$206
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	45	58	$75
93662	Ultrasound evaluation of heart blood vessel with review by radiologist	57	57	$64

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$1,664	Biosense Webster, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	15	$119,390	W. L. Gore & Associates, Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Robert Jay Sommer, M.D.?

Tedicare shows public-source Medicare data for Robert Jay Sommer, M.D. (NPI 1316954514), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Robert Jay Sommer, M.D. have ACO affiliation data?

Robert Jay Sommer, M.D. is shown with ACO affiliation data for NewYork Quality Care (MSSP, ACO ID A2571).

What billing organization is linked to Robert Jay Sommer, M.D.?

Robert Jay Sommer, M.D. is linked to TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK (billing NPI 1861907321) in the available physician profile data.

Does Robert Jay Sommer, M.D. have Open Payments data?

Robert Jay Sommer, M.D. has 30 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.