DR. JEFFREY M SUMNER (M.D.) – Orthopaedic Surgery Physician, NPI 1457330318
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
466 ORTHOPEDIC SURGERY in CT
Provider Addresses for DR. JEFFREY M SUMNER (M.D.)
84 N Main St
Branford, CT 064053061
Phone: (203) 483-2509
Fax: (203) 483-2513
Type: Location
235 Boston Post Rd
Orange, CT 064773229
Phone: (203) 795-4784
Fax: (203) 799-1179
Type: Location
2408, Whitney Avenue, Centerville, Hamden, New Haven County, Connecticut, 06518, United States
HAMDEN, CT 065183209
Phone: (203) 626-0160
Fax: (203) 294-6734
Type: Mailing
Whitney Avenue, Hamden, New Haven County, Connecticut, 06518, United States
HAMDEN, CT 065183249
Phone: (203) 752-3169
Fax: (203) 654-2509
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $156.
Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: SPR Therapeutics, Inc ($139).
Total Amount
$156
General + Research + Ownership
Payments
2
Total payment records
General Amount
$156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SPR Therapeutics, Inc | $139 |
| DePuy Synthes Sales Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060404000291 | I | Orthopedic Surgery | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 490 | 176 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 132 | 91 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 62 | 39 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 26 | 21 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 23 | 11 | $0 |
Insurance plans in this area (ZIP 06405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | CT | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CT | |
| - | CT | |
| Interventional Pain Management | CT | |
| - | CT | |
| - | CT | |
| Occupational Therapist In Private Practice | CT | |
| Orthopedic Surgery | CT | |
| - | CT | |
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | CT |
Reviews
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