2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1457330318 M.D.
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JEFFREY SUMNER, M.D.

Orthopaedic Surgery of the Spine Physician in HAMDEN, Connecticut. 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
2K
Medicare Part D claims · 380 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.1762/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$155.95
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JEFFREY SUMNER, M.D. is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in HAMDEN, Connecticut with a Medicare Part D prescribing footprint of 2K claims across 380 beneficiaries — 2% brand-name prescribing . Their CMS MIPS Final Score of 82.1762/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $155.95 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JEFFREY SUMNER, M.D. reported a CMS MIPS final score of 82.1762 out of 100, below the 83.1 national average, and filed 2,097 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)

JEFFREY SUMNER, 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).

JEFFREY SUMNER, M.D. at a glance

Near national average

NPI registry status

Active

Issued 01/10/2006

NPI 1457330318

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

2,097 479% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

82.1762/100 0.9238% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Connecticut providers

Connecticut providers

Orthopaedic Surgery of the Spine Physician share within Connecticut

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Connecticut

Medicare quality performance — MIPS

JEFFREY SUMNER, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Near national average
MIPS Final Score
82.1762/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 82.1762/100 vs national avg 83.1

0%100%National avg83%82.2%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 82.1762/100 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).

JEFFREY SUMNER, M.D. is a Orthopaedic Surgery of the Spine Physician provider practicing in HAMDEN, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1457330318. 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.

JEFFREY SUMNER, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding M.D. credentials at 2416 WHITNEY AVE STE 3, HAMDEN, CT, 06518, with a listed phone of (203) 752-3169. NPI 1457330318 was issued on 01/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUMNER 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 2,097 prescription claims written by this provider, covering 380 Medicare beneficiaries and totaling roughly $52K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 32.7%. 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 82.1762/100 for the 2023 performance year (Quality 85.2031, Cost 67.715), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

2416 WHITNEY AVE STE 3
HAMDEN, CT 06518

Provider Details

NPI 1457330318
Specialty Orthopaedic Surgery of the Spine Physician
Credentials M.D.
Gender Male
NPI Issued 01/10/2006

CMS Quality Score (MIPS)

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

82.1762
Final Score
Avg: 83.1
85.2031
Quality
67.715
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JEFFREY SUMNER, 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.

CONNECTICUT ORTHOPAEDIC SPECIALISTS PC
HAMDEN, CT

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 JEFFREY SUMNER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$156

Largest payer

SPR Therapeutics, 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 · Generic-heavy

JEFFREY SUMNER, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 2,097 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.

2,097
Total Claims
$52K
Total Drug Cost
380
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,290
Total Day Supply
55,218
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$15K
Generic Drug Cost
$37K
Opioid Claims
686 (32.7% rate)

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.29
Gender Split
70% female / 30% male
Age Distribution
<65: 35, 65-74: 155, 75-84: 139, 85+: 51

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
447
Gabapentin
282
Oxycodone Hcl
221
Tramadol Hcl
198
Celecoxib
178
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
162
Nabumetone
82
Pregabalin
68
Methylprednisolone
67
Cyclobenzaprine Hcl
53

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

Orthopaedic Surgery of the Spine Physician Overview

How JEFFREY SUMNER, M.D. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

JEFFREY SUMNER, M.D.'s 2,097 claims are above the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Connecticut

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JEFFREY SUMNER, M.D.'s specialty?
JEFFREY SUMNER, M.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in HAMDEN, Connecticut. Credentials: M.D..
How much does JEFFREY SUMNER, M.D. prescribe under Medicare Part D?
In 2023, JEFFREY SUMNER, M.D. wrote 2,097 Medicare Part D claims totaling $52K in drug costs for 380 beneficiaries.
What is JEFFREY SUMNER, M.D.'s Medicare quality score?
JEFFREY SUMNER, M.D. has a CMS MIPS Final Score of 82.1762/100 (Quality: 85.2031, Cost: 67.715). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEFFREY SUMNER, M.D. located?
JEFFREY SUMNER, M.D. is located at 2416 WHITNEY AVE STE 3, HAMDEN, CT, 06518. Phone: (203) 752-3169.
What is JEFFREY SUMNER, M.D.'s NPI number?
JEFFREY SUMNER, M.D.'s National Provider Identifier (NPI) is 1457330318, issued on 01/10/2006.
Does JEFFREY SUMNER, M.D. prescribe more brand-name or generic drugs?
JEFFREY SUMNER, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $15K in brand drug costs.
Does JEFFREY SUMNER, M.D. prescribe opioids?
Yes, JEFFREY SUMNER, M.D. had 686 opioid claims in 2023 with an opioid prescribing rate of 32.7%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does JEFFREY SUMNER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JEFFREY SUMNER, M.D.'s most frequently prescribed drugs include Meloxicam, Gabapentin, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEFFREY SUMNER, M.D. accept Medicare?
JEFFREY SUMNER, M.D. appears in CMS Medicare data with 2,097 Part D claims and 380 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY SUMNER, M.D.'s credentials?
JEFFREY SUMNER, M.D.'s NPI is 1457330318 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