KAREN SUMNER, AGACNP-BC appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding AGACNP-BC credentials at 9 PINNACLE DR STE A03, FISHERSVILLE, VA, 22939, with a listed phone of (444) 728-7118. NPI 1821615758 was issued on 06/26/2020. 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 522 prescription claims written by this provider, covering 158 Medicare beneficiaries and totaling roughly $34K in drug spend, split 7% brand-name and 93% 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 79.3949/100 for the 2023 performance year (Quality 73.6607, Cost 57.6556), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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.