2026 NPPES data Medical Physician Assistant NPI 1720414733 PA
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MEGAN SUMNER, PA

Medical Physician Assistant in CHARLESTON, South Carolina. 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
255
Medicare Part D claims · 185 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
70.053/100
▼ 13 pts below national avg 83.1 · [object Object]

What the federal data shows

MEGAN SUMNER, PA reported a CMS MIPS final score of 70.053/100 — below the 83.1 national average — and filed 255 Medicare Part D claims in 2023.

70.053/100
MIPS score · -13 vs avg
255
Part D claims, 2023
93%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MEGAN SUMNER, PA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

70 8th percentile higher than 8% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about MEGAN SUMNER, PA?

Below national average

NPI registry status

Active

Issued 09/23/2013

NPI 1720414733

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

255 76% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

70.053/100 13.046999999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in South Carolina

How Medical Physician Assistant compares to other specialties among South Carolina providers

South Carolina providers

Medical Physician Assistant share within South Carolina

1. Medical Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Physician Assistant share within South Carolina

Medicare quality performance — MIPS

MEGAN SUMNER, PA's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Below national average
MIPS Final Score
70.053/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 70.053/100 vs national avg 83.1

0%100%National avg83%70.1%
MIPS final score (Medical Physician Assistant) — 70.053/100 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).

MEGAN SUMNER, PA appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA credentials at 743 FOLLY RD, CHARLESTON, SC, 29412, with a listed phone of (843) 762-2360. NPI 1720414733 was issued on 09/23/2013. 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 255 prescription claims written by this provider, covering 185 Medicare beneficiaries and totaling roughly $3K 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 70.053/100 for the 2023 performance year (Quality 48.2211, Cost 53.6223), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

743 FOLLY RD
CHARLESTON, SC 29412

Provider Details

NPI 1720414733
Specialty Medical Physician Assistant
Credentials PA
Gender Female
NPI Issued 09/23/2013

CMS Quality Score (MIPS)

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

70.053
Final Score
Avg: 83.1
48.2211
Quality
53.6223
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MEGAN SUMNER, PA 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.

NOVANT HEALTH URGENT CARES LLC
AIKEN, SC

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

Brand vs generic prescribing mix · Generic-heavy

MEGAN SUMNER, PA — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 255 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.

255
Total Claims
$3K
Total Drug Cost
185
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
269
Total Day Supply
2,960
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$831
Generic Drug Cost
$2K
Antibiotic Claims
130

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
0.87
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

What MEGAN SUMNER, PA prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Doxycycline Hyclate
57
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
36
Albuterol Sulfate Hfa
Albuterol Sulfate
17
Cephalexin
15
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
14
Erythromycin
Erythromycin Base
13
Mupirocin
13

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

Medical Physician Assistant Overview

How MEGAN SUMNER, PA fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

MEGAN SUMNER, PA's 255 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in South Carolina

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

Compare Medical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is MEGAN SUMNER, PA's specialty?
MEGAN SUMNER, PA specializes in Medical Physician Assistant and practices in CHARLESTON, South Carolina. Credentials: PA.
How much does MEGAN SUMNER, PA prescribe under Medicare Part D?
In 2023, MEGAN SUMNER, PA wrote 255 Medicare Part D claims totaling $3K in drug costs for 185 beneficiaries.
What is MEGAN SUMNER, PA's Medicare quality score?
MEGAN SUMNER, PA has a CMS MIPS Final Score of 70.053/100 (Quality: 48.2211, Cost: 53.6223). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MEGAN SUMNER, PA located?
MEGAN SUMNER, PA is located at 743 FOLLY RD, CHARLESTON, SC, 29412. Phone: (843) 762-2360.
What is MEGAN SUMNER, PA's NPI number?
MEGAN SUMNER, PA's National Provider Identifier (NPI) is 1720414733, issued on 09/23/2013.
Does MEGAN SUMNER, PA prescribe more brand-name or generic drugs?
MEGAN SUMNER, PA's prescribing is 7% brand-name and 93% generic drugs by claim count, with $831 in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does MEGAN SUMNER, PA prescribe most often?
Based on 2023 Medicare Part D data, MEGAN SUMNER, PA's most frequently prescribed drugs include Doxycycline Hyclate, Amoxicillin-Clavulanate Potass, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEGAN SUMNER, PA accept Medicare?
MEGAN SUMNER, PA appears in CMS Medicare data with 255 Part D claims and 185 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEGAN SUMNER, PA's credentials?
MEGAN SUMNER, PA's NPI is 1720414733 with credentials PA. 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