SEAN M SUMNER (M.D.) – Internal Medicine Physician, NPI 1093718942
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
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Provider Addresses for SEAN M SUMNER (M.D.)
Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States
SUITE 500
GAINESVILLE, GA 305013862
Phone: (770) 536-9864
Fax: (770) 297-5023
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2010-01-26
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 |
|---|---|---|---|---|
| I20100126000272 | I | Internal Medicine | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,459 | 454 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,277 | 441 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1,254 | 436 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 1,242 | 434 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 1,227 | 437 | $0 |
Insurance plans in this area (ZIP 30501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | GA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 187 | 187 |
| INTERNAL MEDICINE | GA | 83036 | Hemoglobin A1C level | 377 | 157 |
| INTERNAL MEDICINE | GA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 56 | 12 |
| INTERNAL MEDICINE | GA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 40 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | GA | |
| Pulmonary Disease | GA | |
| Nurse Practitioner | GA | |
| Pulmonary Disease | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Nephrology, Internal Medicine | GA | |
| E N D O C R I N O L O G Y | MS | |
| E N D O C R I N O L O G Y | GA |
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