SEAN M SUMNER M.D. NPI 1093718942

NPI Details

Sean M Sumner, M.D. is an internal medicine in Gainesville, GA with 32 years of experience. The provider is 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. Sean M Sumner, M.D. NPI is 1093718942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

1240 JESSE JEWELL PKWY SE
STE 500
GAINESVILLE, GA
ZIP 30501-861
Phone: (770) 536-9864
Fax: (770) 297-5023

The NPI 1093718942 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
• Blood test, comprehensive group of blood chemicals (HCPCS:80053)
• Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
• Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
• Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
• Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
• Thyroxine (thyroid chemical), free (HCPCS:84439)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Hemoglobin a1c level (HCPCS:83036)
• Psa (prostate specific antigen) measurement, total (HCPCS:84153)
• Advance care planning, first 30 minutes (HCPCS:99497)
• X-ray of chest, 2 views (HCPCS:71046)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Urine microalbumin (protein) level (HCPCS:82043)
• Vitamin d-3 level (HCPCS:82306)
• Uric acid level, blood (HCPCS:84550)
• Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
• Blood test, clotting time (HCPCS:85610)
• Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
• Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Ferritin (blood protein) level (HCPCS:82728)
• Iron level (HCPCS:83540)
• Iron binding capacity (HCPCS:83550)
• Anticoagulant management of patient taking warfarin (HCPCS:93793)
• Diabetes outpatient self-management training services, individual, per 30 minutes (HCPCS:G0108)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Transitional care management services for problem of high complexity (HCPCS:99496)
• Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
• X-ray of knee, 4 or more views (HCPCS:73564)
• Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
• Magnesium level (HCPCS:83735)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
• Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
• Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
• Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
• Testosterone (hormone) level, total (HCPCS:84403)
• Parathormone (parathyroid hormone) level (HCPCS:83970)
• Transitional care management services for problem of moderate complexity (HCPCS:99495)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of hip, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 3/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: