Active NPI 1457330318 Individual Practitioner Male Practitioner

Dr. Jeffrey M Sumner , MD

Orthopaedic Surgery • Hamden, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Sumner, MD is a certified Orthopaedic Surgery practicing in Hamden, CT. With approximately 47 years of clinical experience since graduating from Albany Medical College Of Union University in 1979, Dr. Sumner delivers high-quality medical care to the local community at 2416 WHITNEY AVE STE 3.

Dr. Sumner maintains professional affiliations with Connecticut Orthopaedic Specialists Pc, Rehabilitation Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views, x-ray of upper spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2416 Whitney Ave Ste 3

Hamden, CT 065183249

Telephone 2037523169

Fax 2036542509

Associated Practice Facility / Clinic

🏢 Connecticut Orthopaedic Specialists, Pc Facility NPI 1740219039

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hamden, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +12.7 yrs vs City Avg

City Avg: 34.3 Yrs

State Avg: 30.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Hamden, CT (374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumner (47 Years) 47 Yrs

Hamden Specialty Average (34.3 Years) 34.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	482	167	$170.00	$94.59
72100 X-ray of lower and sacral spine, 2-3 views	133	84	$119.79	$41.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	30	$85.00	$59.55
72040 X-ray of upper spine, 2-3 views	37	24	$132.00	$42.19
72170 X-ray of pelvis, 1-2 views	20	12	$107.65	$28.78
72148 MRI scan of lower spinal canal	19	19	$1700.00	$197.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$195.00	$117.18
73502 X-ray of hip, 2-3 views	16	11	$181.25	$45.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	490	176	$170.00	$95.77
72100 X-ray of lower and sacral spine, 2-3 views	132	91	$118.14	$42.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	39	$85.00	$61.09
72040 X-ray of upper spine, 2-3 views	26	21	$132.00	$43.97
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	11	$2400.00	$224.69
72148 MRI scan of lower spinal canal	22	22	$1700.00	$219.32
73502 X-ray of hip, 2-3 views	19	12	$152.63	$39.32
72170 X-ray of pelvis, 1-2 views	16	16	$106.25	$27.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$295.00	$178.26
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$7300.00	$762.78
22612 Fusion of spine in lower back	12	11	$8300.00	$1714.03
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	11	$5800.00	$815.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	530	182	$169.28	$96.98
72100 X-ray of lower and sacral spine, 2-3 views	149	91	$119.95	$42.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	39	$85.00	$61.12
J1030 Injection, methylprednisolone acetate, 40 mg	40	13	$9.00	$6.63
72040 X-ray of upper spine, 2-3 views	39	32	$129.13	$42.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$295.00	$178.58
20610 Aspiration and/or injection of fluid from large joint	27	16	$225.00	$70.46
72170 X-ray of pelvis, 1-2 views	24	17	$112.00	$30.85
72148 MRI scan of lower spinal canal	22	22	$1700.00	$224.27
73502 X-ray of hip, 2-3 views	18	12	$191.67	$49.08
73501 X-ray of hip with pelvis, 1 view	16	13	$181.25	$32.21
72020 X-ray of spine, 1 view	15	14	$90.93	$25.56
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$7300.00	$967.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	587	210	$132.93	$98.09
72100 X-ray of lower and sacral spine, 2-3 views	187	115	$120.36	$43.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	38	$85.00	$61.16
73502 X-ray of hip, 2-3 views	38	25	$152.63	$39.33
72040 X-ray of upper spine, 2-3 views	34	32	$128.71	$42.97
63048 Partial removal of spine bone with release of spinal cord and/or nerves	30	13	$2400.00	$225.66
72148 MRI scan of lower spinal canal	29	29	$1700.00	$229.29
20610 Aspiration and/or injection of fluid from large joint	25	12	$306.00	$82.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$195.00	$117.46
72170 X-ray of pelvis, 1-2 views	23	17	$100.00	$27.87
72020 X-ray of spine, 1 view	17	15	$96.00	$27.43
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$7300.00	$861.50
73560 X-ray of knee, 1-2 views	14	12	$90.29	$33.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	503	209	$130.00	$80.67
72100 X-ray of lower and sacral spine, 2-3 views	148	96	$118.55	$39.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	42	$85.00	$49.50
73502 X-ray of hip, 2-3 views	47	26	$164.89	$40.01
72040 X-ray of upper spine, 2-3 views	34	31	$132.00	$39.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$195.00	$115.58
J1030 Injection, methylprednisolone acetate, 40 mg	26	13	$9.00	$6.08
20610 Aspiration and/or injection of fluid from large joint	22	13	$286.36	$78.39
72148 MRI scan of lower spinal canal	20	20	$1700.00	$242.98
27245 Treatment of broken neck of thigh bone with bone implant	19	19	$3700.00	$1372.89
72170 X-ray of pelvis, 1-2 views	19	15	$107.16	$29.52
73560 X-ray of knee, 1-2 views	15	11	$96.53	$34.46
72020 X-ray of spine, 1 view	12	12	$96.00	$23.69
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$6775.00	$764.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	731	268	$130.00	$79.43
72100 X-ray of lower and sacral spine, 2-3 views	174	111	$118.48	$37.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	41	$85.00	$49.31
73502 X-ray of hip, 2-3 views	52	28	$162.50	$37.08
72040 X-ray of upper spine, 2-3 views	50	32	$132.00	$37.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$192.50	$117.75
72170 X-ray of pelvis, 1-2 views	25	18	$89.92	$28.84
72148 MRI scan of lower spinal canal	24	23	$1700.00	$244.20
J1030 Injection, methylprednisolone acetate, 40 mg	22	17	$9.00	$6.23
20610 Aspiration and/or injection of fluid from large joint	20	15	$236.25	$67.94
72020 X-ray of spine, 1 view	19	16	$96.00	$23.24
73501 X-ray of hip with pelvis, 1 view	15	12	$180.00	$29.79
27245 Treatment of broken neck of thigh bone with bone implant	14	12	$3700.00	$1313.87
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$3600.00	$1336.17
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$6775.00	$851.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	747	296	$130.00	$77.76
72100 X-ray of lower and sacral spine, 2-3 views	204	129	$119.00	$35.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	46	$85.00	$47.55
73502 X-ray of hip, 2-3 views	60	24	$142.50	$31.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$190.00	$116.54
72040 X-ray of upper spine, 2-3 views	43	34	$129.40	$34.37
73560 X-ray of knee, 1-2 views	38	24	$93.37	$30.25
20610 Aspiration and/or injection of fluid from large joint	30	17	$240.00	$66.94
72020 X-ray of spine, 1 view	29	26	$93.38	$22.94
J1030 Injection, methylprednisolone acetate, 40 mg	28	17	$9.00	$6.63
72170 X-ray of pelvis, 1-2 views	25	18	$100.96	$30.42
72148 MRI scan of lower spinal canal	19	19	$1700.00	$246.66
72070 X-ray of middle spine, 2 views	18	13	$120.11	$32.39
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$6775.00	$837.76
73501 X-ray of hip with pelvis, 1 view	12	11	$150.00	$24.57
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3700.00	$1358.70
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3600.00	$1319.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	810	339	$130.00	$77.95
72100 X-ray of lower and sacral spine, 2-3 views	258	164	$116.86	$36.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	87	$85.00	$47.15
73502 X-ray of hip, 2-3 views	71	37	$168.31	$36.07
72040 X-ray of upper spine, 2-3 views	61	41	$130.16	$35.69
72170 X-ray of pelvis, 1-2 views	41	28	$105.27	$33.17
73501 X-ray of hip with pelvis, 1 view	39	27	$180.77	$28.63
73560 X-ray of knee, 1-2 views	39	29	$93.59	$31.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$190.00	$116.61
J1030 Injection, methylprednisolone acetate, 40 mg	35	26	$9.00	$5.79
20610 Aspiration and/or injection of fluid from large joint	35	24	$237.86	$66.78
73030 X-ray of shoulder, minimum of 2 views	34	24	$122.88	$31.22
72020 X-ray of spine, 1 view	32	29	$96.00	$24.06
73600 X-ray of ankle, 2 views	28	11	$90.29	$27.62
72148 MRI scan of lower spinal canal	24	24	$1700.00	$244.96
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	11	$2400.00	$237.36
72070 X-ray of middle spine, 2 views	18	13	$126.00	$37.25
73552 X-ray of thigh bone, minimum 2 views	18	13	$150.00	$27.29
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$6775.00	$887.44
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$3700.00	$1356.10

Medical Specialties & State Licenses

CMS Verified: 2026-05-18

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CT 26075

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License CT 26075

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Hospital & Practice Group Affiliations

Connecticut Orthopaedic Specialists Pc

2416 Whitney Ave, Hamden, CT 065183249

Phone: 2037523100

Rehabilitation Associates Inc

1931 Black Rock Tpke, Fairfield, CT 068253506

Phone: 2033848681

Secondary Practice Locations

84 N Main St

Branford, CT 064053061

Phone: 2034832509

235 Boston Post Rd

Orange, CT 064773229

Phone: 2037954784

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Eric Padegimas , MD

Orthopaedic Surgery

NPI 1992148761

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Business Mailing Address May 18, 2026

Registered at 2 BARNES INDUSTRIAL RD S, WALLINGFORD, CT 064922486 (Tel: 2036260160)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2022

Orthopaedic Surgery (License #26075 in CT)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2021

Orthopaedic Surgery (License #26075 in CT)

✅

NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2017

Registered at 2416 WHITNEY AVE STE 3, HAMDEN, CT 065183249 (Tel: 2037523100)

📍

Updated Business Mailing Address December 06, 2017

Registered at 2408 WHITNEY AVE, HAMDEN, CT 065183209 (Tel: 2037523100)

👤

Provider Name / Credentials Updated December 06, 2017

Recorded as JEFFREY SUMNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Orthopaedic Surgery (License #026075 in CT)

✅

NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2016

Registered at 2200 WHITNEY AVE, SUITE 170, HAMDEN, CT 065183691 (Tel: 2037523100)

📍

Updated Business Mailing Address July 15, 2016

Registered at 2408 WHITNEY AVE, HAMDEN, CT 065183209 (Tel: 2037523100)

👤

Provider Name / Credentials Updated July 15, 2016

Recorded as JEFFREY SUMNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Orthopaedic Surgery (License #026075 in CT)

🟢

Initial NPI Registration & Enumeration January 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457330318

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 10, 2006

Last Update: May 18, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2 Barnes Industrial Rd S

Wallingford, CT 064922486

Phone: 2036260160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.