Brian Sumner, MD
NPI 1427518240 · Emergency Medicine Physician · Queens, NY
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Sumner, MD is a Emergency Medicine Physician provider in Queens, NY (NPI 1427518240).
Provider details
- NPI number
- 1427518240
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
158 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 60 | $225 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 27 | $189 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 24 | $9 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 20 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 15 | $119 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$21 across 1 record (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
Additional practice locations (1)
- 1111 Amsterdam AveNew York, NY 10025-1716Phone: (212) 523-4000
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2024-04-23
- Certified
- 2024-04-23
Frequently asked questions
- What is Brian Sumner's NPI number?
- Brian Sumner's National Provider Identifier (NPI) is 1427518240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Sumner's specialty?
- Brian Sumner is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Brian Sumner located?
- Brian Sumner's practice location on file with NPPES is 25-10 30th Ave, Queens, NY 11102.
- What is Brian Sumner's phone number?
- The practice phone number listed in the NPPES registry for Brian Sumner is (718) 932-1000.
- Does Brian Sumner accept Medicare?
- Brian Sumner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Sumner's NPI active?
- Yes — Brian Sumner's NPI (1427518240) is active in the NPPES registry as of the last update on 2024-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.