Dr. James R. Sumner, DO
- Medicare services, 2024
- 142
- Medicare patients, 2024
- 132
- Part D claims, 2024
- 68
- MIPS score, 2024
- 77
- Hospital affiliations
- 1
- Practice address
- 1 Choctaw, Caney, OK 74533
- Practice phone
- Call (918) 567-7000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Choctaw Nation Health Care
Multi-specialty group site · Caney, Oklahoma
Find Dr. Sumner's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. James R. Sumner is a general surgeon in Caney, Oklahoma
Dr. Sumner practices at Choctaw Nation Health Care in Caney, Oklahoma.
Dr. Sumner's NPI, 1396747168, was assigned on August 11, 2005. Dr. Sumner graduated from Oklahoma State University Center for Health Sciences in 1985. Dr. Sumner holds Oklahoma license 2555.
- NPI
- 1396747168NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4688561343
- NPI enumeration date
- August 11, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (918) 567-7000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 67
- Medical school graduation
- 1985
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. James R. Sumner practices at Choctaw Nation Health Care in Caney, Oklahoma
Dr. Sumner's primary practice is Choctaw Nation Health Care, at 1 Choctaw, Caney, OK 74533. The practice phone is (918) 567-7000.
- Choctaw Nation Health Care1 Choctaw, Caney, OK 74533Phone(918) 567-7000
Source: Dmand AI Affiliation Data
Dr. James R. Sumner is affiliated with 2 sites of care and 1 medical group
Dr. Sumner's primary practice is Choctaw Nation Health Care in Caney, Oklahoma. Dr. Sumner is also affiliated with Choctaw Nation Health Care Center. The medical group on file is Choctaw Nation Health Care Center.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. James R. Sumner's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Sumner practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Choctaw Nation Health Care | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. James R. Sumner is one of 316 general surgeons in Oklahoma
Surgery is Dr. Sumner's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Sumner is licensed in Oklahoma.
Specialties and state licenses
- Surgery, OklahomaPrimary
Clinical focus
Dmand AI lists colonoscopy, gallbladder removal, gastrointestinal bleeding and upper GI endoscopy among the conditions Dr. Sumner treats.
General surgeons near Dr. Sumner
Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. James R. Sumner billed Medicare for 142 services in 2024
CMS data shows 142 Medicare services from Dr. Sumner across 7 procedure codes in 2024, for 132 Medicare patients. Medicare paid $13,079 for them.
Dr. Sumner's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 682024: 671%
- Surgery
- 2023: 802024: 6223%
- Other services
- 2023: 172024: 1324%
Where Dr. Sumner's Medicare services took place, 2024
- In an office6747%
- In a facility7553%
Dr. Sumner compared with the Oklahoma median for general surgeons, 2024
- Dr. Sumner
- Oklahoma median
- Medicare services
- 142vs 19025% below
- Medicare patients
- 132vs 1459% below
- Part D claims
- 31vs 6149% below
Medians across 312 general surgeons in Oklahoma with Dmand AI profiles that report each measure.
Dr. Sumner's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Sumner?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Sumner and other general surgeons in Oklahoma.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. James R. Sumner treated 132 Medicare patients in 2024, average age 69
CMS counts 132 Medicare patients who saw Dr. Sumner in 2024. The largest group is 65 to 74, with 91 patients. 75% of them have high blood pressure, and 65% have high cholesterol. 8% are also on Medicaid. Their average risk score is 0.92, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Sumner's median patient age at 71, with 57% women.
Dr. Sumner's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Sumner's Medicare patients by sex, 2024
- Women7557%
- Men5743%
Chronic conditions among Dr. Sumner's Medicare patients, 2024
- High blood pressure75%
- High cholesterol65%
- Diabetes49%
- Arthritis37%
- Mood disorders28%
- Depression25%
- Anxiety20%
- Ischemic heart disease19%
Share of Medicare patients with each condition. A patient can have several.
Dr. Sumner's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 71
Patient panel by sex, all payers
- Women57%
- Men43%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. James R. Sumner wrote 68 Medicare Part D claims in 2024
In 2024, Dr. Sumner wrote 68 Medicare Part D claims for 51 patients. 35% of them were for generic drugs. CMS names the drug for 31 of them, across 1 drug with 11 or more claims each, at $805 in total drug cost. In 2023, CMS named 35 claims across 1 drug.
Dr. Sumner's Part D claims by kind of drug, 2024
- Generic24 claims35%
- Brand-name44 claims65%
Dr. Sumner's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 352024: 3111%
Drugs named by CMS: 1 in 2024, 1 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. James R. Sumner scored 77 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 77 out of 100 for Dr. Sumner for performance year 2024, reported as part of a group. Dr. Sumner accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 49 procedures of colonoscopy by Dr. Sumner, more than 63% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Sumner's MIPS scores, performance year 2024
- 77of 100Final score
- 73.1of 100Quality
- 40of 100Improvement Activities
- 70of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Sumner ranks in Medicare procedure volume
- Colonoscopy
- 63rd percentile49 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Upper gastrointestinal (GI) endoscopy for acid reflux: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. James R. Sumner received $417 in industry payments from 2016 to 2022
CMS Open Payments shows 20 general payments to Dr. Sumner from 10 drug and device companies from 2016 to 2022. Food and beverage make up the largest share, 100% of the total. Amgen Inc. paid the most, $131.
General payments to Dr. Sumner by program year, 2016 to 2022
Companies that paid Dr. Sumner the most, 2016 to 2022
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. James R. Sumner has 1 award and honors on record
Dmand AI lists 1 award for Dr. Sumner, most recently CMS Stage 1 EHR in 2011.
Awards and honors for Dr. Sumner
- 2011
- CMS Stage 1 EHR
Source: Dmand AI Professional Profile Data
Dr. James R. Sumner graduated from Oklahoma State University Center for Health Sciences
Dr. Sumner graduated from Oklahoma State University Center for Health Sciences in 1985.
- Medical school
Source: Dmand AI Professional Profile Data
Dr. James R. Sumner accepts plans from 3 insurance carriers
Dr. Sumner is in network with 3 carriers, including Elevance, Blue Cross Blue Shield of Michigan and CMS Medicare. HMO plans come from the most carriers, 2. Check the plan with the practice before a visit.
- Elevance
- Blue Cross Blue Shield of Michigan
- CMS Medicare
Plan types Dr. Sumner accepts, by number of carriers
- HMO2
- Medicare2
- POS2
- PPO2
- EPO1
Source: Dmand AI Insurance Network Data
Sources for Dr. James R. Sumner's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. James R. Sumner
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. James R. Sumner's NPI number?
Dr. James R. Sumner's NPI number is 1396747168. It was assigned on August 11, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. James R. Sumner?
Dr. James R. Sumner is a general surgeon in Caney, Oklahoma. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).
Where does Dr. James R. Sumner practice?
Dr. Sumner practices at 1 Choctaw, Caney, OK 74533. Dr. Sumner's primary practice is Choctaw Nation Health Care in Caney, Oklahoma.
What is Dr. James R. Sumner's office phone number?
The practice phone on file for Dr. Sumner is (918) 567-7000.
What is Dr. James R. Sumner's medical license number?
Dr. Sumner holds Oklahoma license 2555.
Which hospitals is Dr. James R. Sumner affiliated with?
Dr. Sumner is affiliated with Choctaw Nation Health Care Center.
What medical group is Dr. James R. Sumner part of?
Dr. Sumner is linked to Choctaw Nation Health Care Center.
Does Dr. James R. Sumner accept Medicare?
Yes. CMS data shows Dr. Sumner billed Medicare for 142 services in 2024, and Dr. Sumner accepts Medicare assignment.
What is Dr. James R. Sumner's MIPS score?
Dr. Sumner's MIPS final score for performance year 2024 is 77 out of 100, reported as part of a group.
How many Medicare patients does Dr. James R. Sumner see?
CMS counts 132 Medicare patients who saw Dr. Sumner in 2024, with an average age of 69.
Show 6 more questionsShow fewer questions
What services does Dr. James R. Sumner bill to Medicare?
In 2024, Dr. Sumner's most billed Medicare services were surgery: digestive system (45380), surgery: digestive system (45385) and office visit, established patient (99213).
Where did Dr. James R. Sumner go to medical school?
Dr. Sumner graduated from Oklahoma State University Center for Health Sciences in 1985.
What drugs does Dr. James R. Sumner prescribe most?
In 2024 Medicare Part D data, Dr. Sumner's most prescribed drugs by claims were Golytely.
Has Dr. James R. Sumner received payments from drug or device companies?
CMS Open Payments shows $417 in general payments to Dr. Sumner from 10 companies from 2016 to 2022. The largest total came from Amgen Inc.
How long has Dr. James R. Sumner been practicing?
Dr. Sumner graduated from medical school in 1985, 41 years ago.
What insurance does Dr. James R. Sumner accept?
Dr. Sumner is in network with 3 carriers, including Elevance, Blue Cross Blue Shield of Michigan and CMS Medicare. HMO plans come from the most carriers, 2. Check the plan with the practice before a visit.
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