Susan Butler Sumner, M.D.
NPI 1205896305 · Family Medicine Physician · Cave Spring, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Butler Sumner, M.D. is a Family Medicine Physician provider in Cave Spring, GA (NPI 1205896305).
Provider details
- NPI number
- 1205896305
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29851 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
827 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 469 | $6 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 119 | $83 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 53 | $61 |
| Testing for Presence of Drug, Read By Direct Observation80305 | 48 | $11 |
| Automated Urinalysis Test81003 | 43 | $2 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 39 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 134 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 373 | 63 |
| Omeprazole | 325 | 69 |
| Metformin Hcl | 309 | 72 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 304 | 69 |
| Pravastatin Sodium | 297 | 76 |
| Levothyroxine Sodium | 254 | 47 |
| Zolpidem Tartrate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,409 across 48 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Frequently asked questions
- What is Susan Butler Sumner's NPI number?
- Susan Butler Sumner's National Provider Identifier (NPI) is 1205896305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Butler Sumner's specialty?
- Susan Butler Sumner is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Butler Sumner located?
- Susan Butler Sumner's practice location on file with NPPES is 28 Rome Rd, Cave Spring, GA 30124-0000.
- What is Susan Butler Sumner's phone number?
- The practice phone number listed in the NPPES registry for Susan Butler Sumner is (706) 777-8775.
- Does Susan Butler Sumner accept Medicare?
- Susan Butler Sumner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Butler Sumner's NPI active?
- Yes — Susan Butler Sumner's NPI (1205896305) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.