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Sean M Sumner

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NPI Number Detailed Information

Provider Information:

Name: Sean M Sumner
Gender: M
Provider License Number If Given: 45346

NPI Information:

NPI: 1093718942
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/24/2005

Last Update Date: 3/10/2021

Reputation Report:

Provider Business Mailing Address:

Address: 1240 JESSE JEWELL PKWY SE SUITE 500
Gainesville, GA 30501
Phone Number: 7705369864
Fax Number: 7702975023

Provider Business Practice Location Address:

Address: 1240 JESSE JEWELL PKWY SE STE 500
Gainesville, GA 30501
Phone Number: 7705369864
Fax Number: 7702975023

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: GA

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About Sean M Sumner

Sean M Sumner ( SEAN M SUMNER ) is A Internal Medicine Physician in Gainesville, GA. The NPI Number for Sean M Sumner is 1093718942.
The current location address for Sean M Sumner is 1240 JESSE JEWELL PKWY SE STE 500 Gainesville, GA 30501 and the contact number is 7705369864 and fax number is 7702975023. The mailing address for Sean M Sumner is 1240 JESSE JEWELL PKWY SE SUITE 500 Gainesville, GA 30501- 7705369864 (mailing address contact number - 7705369864).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Sean M Sumner ?


Answer: The NPI Number for Sean M Sumner is 1093718942

Where is Sean M Sumner located?


Answer: Sean M Sumner is located at 1240 JESSE JEWELL PKWY SE STE 500 Gainesville, GA 30501.

What is the specialty for Sean M Sumner ?


Answer: The Specialty of Sean M Sumner is A Internal Medicine Physician.

Are there any online reviews for Sean M Sumner ?


Answer: Yes! Check It Now.

Are there any other health care providers in Gainesville, GA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Sean M Sumner

Number of HCPCS 170
Number of Medicare Beneficiaries 594
Number of Services 26253.5
Total Submitted Charge Amount 1313819.9
Total Medicare Allowed Amount 516302.03
Total Medicare Payment Amount 427386.28
Total Medicare Standardized Payment Amount 442591.32
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 20
Number of Medicare Beneficiaries With Drug Services 275
Number of Drug Services 11613.5
Total Drug Submitted Charge Amount 65960.9
Total Drug Medicare Allowed Amount 29718.34
Total Drug Medicare Payment Amount 26698.64
Total Drug Medicare Standardized Payment Amount 26229.05
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 150
Number of Medicare Beneficiaries With Medical 594
Number of Medical Services 14640
Total Medical Submitted Charge Amount 1247859
Total Medical Medicare Allowed Amount 486583.69
Total Medical Medicare Payment Amount 400687.64
Total Medical Medicare Standardized Payment Amount 416362.27
Average Age of Beneficiaries 77
Number of Beneficiaries Age Less 65 15
Number of Beneficiaries Age 65 to 74 232
Number of Beneficiaries Age 75 to 84 244
Number of Beneficiaries Age Greater 84 103
Number of Female Beneficiaries 299
Number of Male Beneficiaries 295
Number of Non-Hispanic White Beneficiaries 568
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 14
Number of Beneficiaries With Medicare & Medicaid Entitlement 17
Number of Beneficiaries With Medicare Only Entitlement 577
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.16
Percent (%) of Beneficiaries Identified With Heart Failure 0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.28
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.22
Percent (%) of Beneficiaries Identified With Diabetes 0.23
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.34
Percent (%) of Beneficiaries Identified With Osteoporosis 0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.0794

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 10249
Number of Standardized 30-Day Fills 26193.133333
Aggregate Cost Paid for All Claims 754246.19
Number of Day's Supply for All Claims 770321
Number of Medicare Beneficiaries 759
Number of Claims, Including Refills, for Beneficiaries Age 65+ 10114
Including Refills, for Beneficiaries Age 65+ 25858.733333
Beneficiaries Age 65+ 750543.87
Number of Day's Supply for All Claims for Beneficaries Age 65+ 760640
Number of Medicare Beneficiaries Age 65+ 742
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1264
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 8925
Aggregate Cost Paid for Generic Drugs 208554.25
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 60
Aggregate Cost Paid for Other Drugs 3320.82
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4742
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 397973.18
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 5507
Aggregate Cost Paid for Claims Filled by 356273.01
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 685
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 59219.26
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 9564
by Low-Income Subsidy 695026.93
Total Claims of Opioid Drugs, Including 46
Aggregate Cost Paid for Opioid Drugs 179.47
Opioid Claims 15
Opioid_Tot_Clms divided by the Tot_Clms 0.4488242755
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 316
Aggregate Cost Paid for Antibiotic Drugs 2561.44
Antibiotic Claims 218
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 23
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 349.38
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 75.989459816
Number of Beneficiaries Age Less Than 65 17
Number of Beneficiaries Age 65 to 74 324
Number of Beneficiaries Age 75 to 84 309
Number of Female Beneficiaries 384
Number of Male Beneficiaries 375
Number of Non-Hispanic White 718
Number of Black or African American 24
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 14
Only Entitlement 723
Average Hierarchical Condition Category 1.1497676658

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