2026 NPPES data Procedural Dermatology Physician NPI 1871579110 MD
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WILLIAM SUMNER, MD

Procedural Dermatology Physician in CONCORD, North 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
2K
Medicare Part D claims · 675 beneficiaries · Procedural Dermatology Physician avg: 664
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.1377/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$1.1K
54 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: WILLIAM SUMNER, MD is a Procedural Dermatology Physician ([object Object]) practicing in CONCORD, North Carolina with a Medicare Part D prescribing footprint of 2K claims across 675 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 87.1377/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 54 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: WILLIAM SUMNER, MD reported a CMS MIPS final score of 87.1377 out of 100, above the 83.1 national average, and filed 1,710 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)

WILLIAM SUMNER, MD 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).

WILLIAM SUMNER, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/19/2005

NPI 1871579110

Primary specialty

Procedural Dermatology Physician

Niche

679 US NPIs in this specialty

Medicare Part D claims

1,710 158% vs specialty avg

2023 prescription claims

Specialty avg: 664

MIPS final score

87.1377/100 4.037700000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Procedural Dermatology Physician compares to other specialties among North Carolina providers

North Carolina providers

Procedural Dermatology Physician share within North Carolina

1. Procedural Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Procedural Dermatology Physician share within North Carolina

Medicare quality performance — MIPS

WILLIAM SUMNER, MD's 2023 MIPS final score plotted against the Procedural Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
87.1377/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Procedural Dermatology Physician) — 87.1377/100 vs national avg 83.1

0%100%National avg83%87.1%
MIPS final score (Procedural Dermatology Physician) — 87.1377/100 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).

WILLIAM SUMNER, MD is a Procedural Dermatology Physician provider practicing in CONCORD, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1871579110. 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.

WILLIAM SUMNER, MD appears in the CMS NPPES registry as a Procedural Dermatology Physician provider holding MD credentials at 335 PENNY LN, CONCORD, NC, 28025, with a listed phone of (704) 784-5901. NPI 1871579110 was issued on 12/19/2005. 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 1,710 prescription claims written by this provider, covering 675 Medicare beneficiaries and totaling roughly $730K in drug spend, split 4% brand-name and 96% 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 87.1377/100 for the 2023 performance year (Quality 76.614), compared with the national average of 83.1.

Procedural Dermatology Physician is a narrow specialty nationwide, with 679 enrolled providers across 48 states and an average of 664 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

335 PENNY LN
CONCORD, NC 28025

Provider Details

NPI 1871579110
Specialty Procedural Dermatology Physician
Credentials MD
Gender Male
NPI Issued 12/19/2005

CMS Quality Score (MIPS)

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

87.1377
Final Score
Avg: 83.1
76.614
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WILLIAM SUMNER, MD 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.

DERMATOLOGY GROUP OF THE CAROLINAS
CONCORD, NC

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 WILLIAM SUMNER, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

ABBVIE 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

WILLIAM SUMNER, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,710 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.

1,710
Total Claims
$730K
Total Drug Cost
675
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,939
Total Day Supply
44,617
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$680K
Generic Drug Cost
$50K
Antibiotic Claims
216

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.20
Gender Split
49% female / 51% male
Age Distribution
<65: 51, 65-74: 246, 75-84: 286, 85+: 92

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
233
Clobetasol Propionate
210
Ketoconazole
192
Mupirocin
175
Doxycycline Hyclate
147
Mometasone Furoate
109
Fluorouracil
55
Cephalexin
49
Clindamycin Phosphate
44
Methotrexate
Methotrexate Sodium
40

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

Procedural Dermatology Physician Overview

How WILLIAM SUMNER, MD fits within the Procedural Dermatology Physician landscape nationally.

679
Procedural Dermatology Physician Providers in US
48
States with Procedural Dermatology Physician
664
Avg Claims per Provider

WILLIAM SUMNER, MD's 1,710 claims are above the specialty average of 664.

Nearby Procedural Dermatology Physician Providers in North Carolina

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

Compare Procedural Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM SUMNER, MD's specialty?
WILLIAM SUMNER, MD specializes in Procedural Dermatology Physician and practices in CONCORD, North Carolina. Credentials: MD.
How much does WILLIAM SUMNER, MD prescribe under Medicare Part D?
In 2023, WILLIAM SUMNER, MD wrote 1,710 Medicare Part D claims totaling $730K in drug costs for 675 beneficiaries.
What is WILLIAM SUMNER, MD's Medicare quality score?
WILLIAM SUMNER, MD has a CMS MIPS Final Score of 87.1377/100 (Quality: 76.614). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM SUMNER, MD located?
WILLIAM SUMNER, MD is located at 335 PENNY LN, CONCORD, NC, 28025. Phone: (704) 784-5901.
What is WILLIAM SUMNER, MD's NPI number?
WILLIAM SUMNER, MD's National Provider Identifier (NPI) is 1871579110, issued on 12/19/2005.
Does WILLIAM SUMNER, MD prescribe more brand-name or generic drugs?
WILLIAM SUMNER, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $680K in brand drug costs.
How many Procedural Dermatology Physician providers are there in the US?
There are 679 Procedural Dermatology Physician providers across 48 states in the US. The average Procedural Dermatology Physician provider writes 664 Medicare Part D claims per year.
What drugs does WILLIAM SUMNER, MD prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM SUMNER, MD's most frequently prescribed drugs include Triamcinolone Acetonide, Clobetasol Propionate, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM SUMNER, MD accept Medicare?
WILLIAM SUMNER, MD appears in CMS Medicare data with 1,710 Part D claims and 675 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM SUMNER, MD's credentials?
WILLIAM SUMNER, MD's NPI is 1871579110 with credentials MD. 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