BRANDON J SUMNER (D.O.) – Surgery Physician, NPI 1295098499
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
Provider Addresses for BRANDON J SUMNER (D.O.)
5012 S US HIGHWAY 75 STE 300
ATT. BILLING
DENISON, TX 750204589
Phone: (903) 416-6490
Fax: (903) 463-1201
Type: Mailing
5012 S US HIGHWAY 75 STE 105
DENISON, TX 750204611
Phone: (903) 416-6490
Fax: (903) 463-1201
Type: Location
1111 6th Ave
Des Moines, IA 503142613
Phone: (515) 643-2261
Fax: (515) 643-5802
Type: Location
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: 2017-08-01
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 |
|---|---|---|---|---|
| I20170801001096 | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 59 | 59 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | 40 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 45 | 43 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 41 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 30 | $0 |
Insurance plans in this area (ZIP 75020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | OK | |
| General Surgery, Vascular Surgery | TX | |
| Internal Medicine, Gastroenterology | TX | |
| Orthopedic Surgery, Sports Medicine | TX | |
| Thoracic Surgery, General Surgery | TX | |
| Orthopedic Surgery, Sports Medicine | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | NM |
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