Sean M. Sumner, M.D.
Internal Medicine Physician · Gainesville, GA
Sean M. Sumner, M.D. is an internal medicine physician with a practice address in Gainesville, Georgia, and NPI 1093718942, issued on May 24, 2005. Check the license (Georgia 45346, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Sean M. Sumner
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 45346 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1240 Jesse Jewell Pkwy SE, Gainesville, GA 30501
- Phone
- (770) 536-9864
- Enumerated
- May 24, 2005
- Record last updated
- Mar 10, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (770) 297-5023
- Medicare enrollment
- Enrolled (PECOS I20100126000272); accepts Medicare assignment
- Medical or professional school
- Duke University School Of Medicine, 1994
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 3,911 in Georgia → Look up another NPI →
Also registered at 1240 Jesse Jewell Pkwy SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Robert Barrett, DOInternal Medicine Physician1780902411
- Michael Baugh, M.D.Neurology Physician1295840577
- Virgil Beall, MDAnesthesiology Physician1720010978
- Richard Blatt, M.D.Internal Medicine Physician1699951871
- Clinton Branch, M.D., F.A.A.N.Neurology Physician1184739435
Verify Sean M. Sumner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 45346Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.4 times the Medicare Part D claims of the average internal medicine physician in 2024
10,656 Medicare Part D claims for 777 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 26 claims were for opioids.
Most prescribed
- Atorvastatin Calcium680 claims
- Losartan Potassium610 claims
- Amlodipine Besylate569 claims
- Levothyroxine Sodium567 claims
- Allopurinol380 claims
- Metoprolol Succinate369 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 82.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Northeast Georgia Diagnostic Associates And Clinic, LLCGainesville, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sean M. Sumner among 3,911 internal medicine physician records in Georgia
Sean M. Sumner, M.D. is one of 3,911 internal medicine physician records with a practice address in Georgia. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated1994 · median 2005 among the 2,535 with a school on file
- Record last updated2021 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
81 internal medicine physician records list a practice address in Gainesville
They are 81 of the 2,998 NPPES records with a practice address in Gainesville, and 3,911 internal medicine physician records in Georgia.
All 3,911 in Georgia → Every provider in Gainesville → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- William Burns, M,D.Gainesville, GA 305011154314953
- C. Shane Bussler, M.D.Gainesville, GA 305011609879881
- Margaret Davis, MDGainesville, GA 305011811989411
- Richard Gomez, M.D.Gainesville, GA 305011316940554
- John Henson, M.D.Gainesville, GA 305011841293958
- Daniel Henson, M.D.Gainesville, GA 305011780687756
- James Jackson, M.D.Gainesville, GA 305011003819111
- Bradley Pierce, M.D.Gainesville, GA 305011841293818
Common questions
What is Sean M. Sumner, M.D.'s NPI number?
Sean M. Sumner, M.D.'s National Provider Identifier (NPI) is 1093718942, issued on May 24, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Sean M. Sumner, M.D. located?
The NPPES record lists a practice address at 1240 Jesse Jewell Pkwy SE, Gainesville, GA, 30501. Phone: (770) 536-9864. Providers update this record themselves, so call before visiting.
How can I verify Sean M. Sumner, M.D.'s license?
NPPES lists Georgia license number 45346, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sean M. Sumner, M.D. prescribe under Medicare Part D?
In 2024, Sean M. Sumner, M.D. had 10,656 Medicare Part D claims for 777 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Sean M. Sumner, M.D.'s MIPS final score?
The 2023 MIPS final score is 82.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.