2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1225126154 M.D.
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BRIAN SUMRALL, M.D.

Critical Care Medicine (Internal Medicine) Physician in FOLEY, Alabama. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 518 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.4763/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$60.76
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BRIAN SUMRALL, M.D. is a Critical Care Medicine (Internal Medicine) Physician ([object Object]) practicing in FOLEY, Alabama with a Medicare Part D prescribing footprint of 3K claims across 518 beneficiaries — 52% brand-name prescribing . Their CMS MIPS Final Score of 87.4763/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $60.76 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BRIAN SUMRALL, M.D. reported a CMS MIPS final score of 87.4763 out of 100, above the 83.1 national average, and filed 2,545 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BRIAN SUMRALL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BRIAN SUMRALL, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/10/2006

NPI 1225126154

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

2,545 138% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

87.4763/100 4.3763000000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Alabama providers

Alabama providers

Critical Care Medicine (Internal Medicine) Physician share within Alabama

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Alabama

Medicare quality performance — MIPS

BRIAN SUMRALL, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
87.4763/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 87.4763/100 vs national avg 83.1

0%100%National avg83%87.5%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 87.4763/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BRIAN SUMRALL, M.D. is a Critical Care Medicine (Internal Medicine) Physician provider practicing in FOLEY, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1225126154. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BRIAN SUMRALL, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 1298 N MCKENZIE ST, FOLEY, AL, 36535, with a listed phone of (251) 971-3555. NPI 1225126154 was issued on 10/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUMRALL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,545 prescription claims written by this provider, covering 518 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 52% brand-name and 48% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.4763/100 for the 2023 performance year (Quality 74.9526), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1298 N MCKENZIE ST
FOLEY, AL 36535

Provider Details

NPI 1225126154
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 10/10/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

87.4763
Final Score
Avg: 83.1
74.9526
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where BRIAN SUMRALL, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

FOLEY CLINIC CORP.
FOLEY, AL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BRIAN SUMRALL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$61

Largest payer

Insmed, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

BRIAN SUMRALL, M.D. — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 2,545 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,545
Total Claims
$1.2M
Total Drug Cost
518
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,075
Total Day Supply
76,626
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$177K
Antibiotic Claims
222

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.75
Gender Split
61% female / 39% male
Age Distribution
<65: 79, 65-74: 233, 75-84: 171, 85+: 35

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
604
Prednisone
437
Albuterol Sulfate Hfa
Albuterol Sulfate
355
Breo Ellipta
Fluticasone/Vilanterol
174
Doxycycline Hyclate
150
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
77
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
76
Pantoprazole Sodium
59
Montelukast Sodium
40
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
39

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How BRIAN SUMRALL, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

BRIAN SUMRALL, M.D.'s 2,545 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Alabama

Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as SUMRALL.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN SUMRALL, M.D.'s specialty?
BRIAN SUMRALL, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in FOLEY, Alabama. Credentials: M.D..
How much does BRIAN SUMRALL, M.D. prescribe under Medicare Part D?
In 2023, BRIAN SUMRALL, M.D. wrote 2,545 Medicare Part D claims totaling $1.2M in drug costs for 518 beneficiaries.
What is BRIAN SUMRALL, M.D.'s Medicare quality score?
BRIAN SUMRALL, M.D. has a CMS MIPS Final Score of 87.4763/100 (Quality: 74.9526). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN SUMRALL, M.D. located?
BRIAN SUMRALL, M.D. is located at 1298 N MCKENZIE ST, FOLEY, AL, 36535. Phone: (251) 971-3555.
What is BRIAN SUMRALL, M.D.'s NPI number?
BRIAN SUMRALL, M.D.'s National Provider Identifier (NPI) is 1225126154, issued on 10/10/2006.
Does BRIAN SUMRALL, M.D. prescribe more brand-name or generic drugs?
BRIAN SUMRALL, M.D.'s prescribing is 52% brand-name and 48% generic drugs by claim count, with $1.0M in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does BRIAN SUMRALL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, BRIAN SUMRALL, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Prednisone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN SUMRALL, M.D. accept Medicare?
BRIAN SUMRALL, M.D. appears in CMS Medicare data with 2,545 Part D claims and 518 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN SUMRALL, M.D.'s credentials?
BRIAN SUMRALL, M.D.'s NPI is 1225126154 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology