Sean Sumner, M.D.
NPI 1093718942 · Internal Medicine Physician · Gainesville, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Sumner, M.D. is a Internal Medicine Physician provider in Gainesville, GA (NPI 1093718942).
Provider details
- NPI number
- 1093718942
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 45346 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
13,766 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,408 | $119 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 1,194 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 1,170 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 1,165 | $10 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 1,151 | $16 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 1,144 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 131 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 680 | 205 |
| Losartan Potassium | 610 | 187 |
| Amlodipine Besylate | 569 | 175 |
| Levothyroxine Sodium | 567 | 156 |
| Allopurinol | 380 | 111 |
| Metoprolol Succinate | 369 | 107 |
| Pantoprazole Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Frequently asked questions
- What is Sean Sumner's NPI number?
- Sean Sumner's National Provider Identifier (NPI) is 1093718942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Sumner's specialty?
- Sean Sumner is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Sumner located?
- Sean Sumner's practice location on file with NPPES is 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3861.
- What is Sean Sumner's phone number?
- The practice phone number listed in the NPPES registry for Sean Sumner is (770) 536-9864.
- Does Sean Sumner accept Medicare?
- Sean Sumner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Sumner's NPI active?
- Yes — Sean Sumner's NPI (1093718942) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.