JAMES SUMNER, D.O.
Surgery Physician · DURANT, OK
Individual Active NPI 1396747168
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 132 | 188 | $142,903 | $23,874 | $19,399 |
| 2023 | 144 | 195 | $137,518 | $26,370 | $20,997 |
| 2022 | 106 | 172 | $102,557 | $21,877 | $17,446 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 25 | $116 | $96 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 25 | $232 | $193 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 | $61 | $43 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 23 | $76 | $53 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 19 | $44 | $28 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 13 | $168 | $168 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $87 | $69 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 2555 | OK |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Oklahoma
- NPI 1437007028
- NPI 1386990067
- NPI 1750421251
- NPI 1386789683
- NPI 1457491904
- NPI 1912955626
- NPI 1437766268
- NPI 1528810058
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.