JAMES R SUMNER (D.O.) – Surgery Physician, NPI 1396747168
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
354 GENERAL SURGERY in OK
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Provider Addresses for JAMES R SUMNER (D.O.)
1610, West University Boulevard, Durant, Bryan County, Oklahoma, 74701, United States
DURANT, OK 747013045
Phone: (580) 924-3400
Fax: (580) 924-7732
Type: Location
PO BOX 1610
DURANT, OK 747021610
Phone: (580) 924-3400
Fax: (580) 924-7732
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-03-09
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 |
|---|---|---|---|---|
| I20170309000307 | I | General Surgery | TX | 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 |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 34 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 19 | 19 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | 18 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 17 | 17 | $0 |
Insurance plans in this area (ZIP 74701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | OK | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | OK | |
| N E U R O L O G Y | AR | |
| E N D O C R I N O L O G Y | AR | |
| Mental Health Counselor | OK | |
| O P T O M E T R Y | OK | |
| - | OK | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | OK |
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