npidexNPI registry + Medicare data

ERIC SUMNER, M.D.

Gastroenterology Physician · FRANKLIN, TN

Individual Active NPI 1366559536

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024368889$316,054$114,935$84,906
2023369905$330,644$123,626$94,401
2022320737$279,835$102,259$77,256

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more156$118$86
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare106$226$168
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more72$164$119
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more67$202$130
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope61$91$69
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope57$75$59
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more51$154$101
43450Dilation of esophagus45$36$28
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes43$109$85
G2211Visit 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's42$15$12
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes33$159$123
45380Biopsy of large bowel using a flexible endoscope26$78$63

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X✓38514TN
Internal Medicine Physician207R00000X38514TN

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.