Active NPI 1528250388 Individual Practitioner Male Practitioner

Dr. Michael Benjamin Sumner , MD

Internal Medicine • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sumner, MD is a certified Internal Medicine practicing in Augusta, GA. With approximately 23 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2003, Dr. Sumner delivers high-quality medical care to the local community at 1120 15TH ST # BI-5070.

Dr. Sumner maintains professional affiliations with Southland Burke Emergency Medical Services, Llc, Southland Emergency Medical Services Consolidated, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hospital discharge day management, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1120 15th St # Bi-5070

Augusta, GA 309120004

Telephone 7067212423

Associated Practice Facility / Clinic

🏢 August University - Medical College Of Georgia Facility NPI 1730865619

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Augusta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +7.7 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

345 Specialists

Practicing in Augusta, GA (4065 Statewide)

Telehealth Adoption Rate

5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumner (23 Years) 23 Yrs

Augusta Specialty Average (15.3 Years) 15.3 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
99238 Hospital discharge day management, 30 minutes or less	103	88	$196.00	$75.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	74	$427.00	$161.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	54	$183.00	$74.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	42	$258.00	$111.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	23	17	$182.00	$101.09
99315 Nursing facility discharge day management, 30 minutes or less	21	21	$149.00	$76.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	12	$134.00	$69.77
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$245.00	$125.60
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$293.00	$171.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$312.00	$122.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99238 Hospital discharge day management, 30 minutes or less	86	71	$175.49	$78.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	82	15	$144.60	$71.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	38	$172.90	$77.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	39	$427.00	$168.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	19	$93.12	$48.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	24	$258.00	$115.85
99221 Initial hospital inpatient care per day, typically 30 minutes	35	33	$218.00	$81.01
99315 Nursing facility discharge day management, 30 minutes or less	31	29	$143.77	$78.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$300.00	$126.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	14	$261.67	$128.83
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	11	$182.00	$103.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	217	74	$162.00	$68.87
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	73	54	$182.00	$86.66
99238 Hospital discharge day management, 30 minutes or less	73	68	$160.00	$68.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	66	$297.00	$127.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	30	$182.00	$86.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	16	$145.00	$65.74
99225 Subsequent observation care, typically 25 minutes per day	26	11	$184.96	$68.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	24	23	$267.50	$123.37
99219 Hospital observation care, typically 50 minutes	18	18	$250.00	$128.11
99335 Established patient assisted living visit, typically 25 minutes	17	16	$190.00	$91.46
99217 Hospital observation care on day of discharge	16	16	$161.00	$68.74
99316 Nursing facility discharge management, more than 30 minutes	13	13	$182.00	$99.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	40	$165.37	$69.96
99238 Hospital discharge day management, 30 minutes or less	45	38	$162.14	$69.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	19	$233.71	$100.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	31	$300.38	$129.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	28	28	$267.68	$125.31
99219 Hospital observation care, typically 50 minutes	28	26	$250.00	$127.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	26	18	$182.00	$87.70
99217 Hospital observation care on day of discharge	21	21	$174.17	$67.19
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	11	$182.00	$87.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$446.44	$194.88
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	15	13	$144.53	$66.48
99239 Hospital discharge day management, more than 30 minutes	15	15	$232.00	$102.89
99283 Emergency department visit with low level of medical decision making	13	12	$763.86	$71.32
99316 Nursing facility discharge management, more than 30 minutes	13	13	$182.00	$101.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	51	$162.00	$71.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	60	$297.00	$135.39
99238 Hospital discharge day management, 30 minutes or less	65	60	$160.00	$71.17
99219 Hospital observation care, typically 50 minutes	30	30	$268.00	$133.28
99217 Hospital observation care on day of discharge	21	20	$165.24	$70.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	13	$145.00	$67.39
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	16	$270.00	$126.36
99316 Nursing facility discharge management, more than 30 minutes	15	15	$182.00	$102.90
99283 Emergency department visit with low level of medical decision making	12	12	$553.08	$65.43
99239 Hospital discharge day management, more than 30 minutes	11	11	$232.00	$104.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	32	$162.00	$71.90
99238 Hospital discharge day management, 30 minutes or less	54	45	$160.00	$71.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	33	$297.00	$135.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	12	$145.00	$67.39
99219 Hospital observation care, typically 50 minutes	17	17	$250.00	$134.36
99217 Hospital observation care on day of discharge	16	15	$161.00	$71.77
99316 Nursing facility discharge management, more than 30 minutes	11	11	$182.00	$103.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	253	121	$162.00	$70.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	35	$232.00	$101.81
99239 Hospital discharge day management, more than 30 minutes	54	52	$232.98	$104.46
99238 Hospital discharge day management, 30 minutes or less	42	39	$160.00	$71.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	14	$90.00	$38.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$438.00	$198.14
99217 Hospital observation care on day of discharge	20	20	$161.00	$71.00
99219 Hospital observation care, typically 50 minutes	16	16	$252.00	$132.97
99220 Hospital observation care, typically 70 minutes	15	14	$353.00	$182.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	281	139	$162.00	$69.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	83	56	$232.00	$98.87
99239 Hospital discharge day management, more than 30 minutes	79	75	$233.00	$103.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	21	$90.00	$38.14
99238 Hospital discharge day management, 30 minutes or less	46	46	$160.00	$69.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$438.00	$196.68
99217 Hospital observation care on day of discharge	34	34	$161.00	$68.85
99219 Hospital observation care, typically 50 minutes	30	30	$252.00	$128.41
99225 Subsequent observation care, typically 25 minutes per day	23	20	$145.00	$70.74
99220 Hospital observation care, typically 70 minutes	16	15	$353.00	$180.14
99218 Hospital observation care typically 30 minutes	12	12	$152.00	$96.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$298.00	$133.23

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 063062

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Southland Burke Emergency Medical Services, Llc

351 S Liberty St, Waynesboro, GA 308309686

Phone: 7065544435

Southland Emergency Medical Services Consolidated, Llc

351 S Liberty St, Waynesboro, GA 308309686

Phone: 7065544435

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Osteopathic Medicine (D.O.)

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Doctor of Osteopathic Medicine (D.O.)

Dr. Anita Rao , MD

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NPI 1063828655

Doctor of Medicine (M.D.)

Dr. Namita Mohanty , MD

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NPI 1093977753

Doctor of Medicine (M.D.)

Dr. Corey Smith , DO

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NPI 1104440635

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2011

Registered at 1120 15TH ST # BI-5070, AUGUSTA, GA 309120004 (Tel: 7067212423)

📍

Updated Business Mailing Address June 23, 2011

Registered at 1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 309012602 (Tel: 7068288402)

👤

Provider Name / Credentials Updated June 23, 2011

Recorded as MICHAEL SUMNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2011

Internal Medicine (License #063062 in GA)

🟢

Initial NPI Registration & Enumeration August 15, 2007

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: 1528250388

Entity Type:

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

Enumeration Date: August 15, 2007

Last Update: June 23, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1499 Walton Way, Suite 1400

Augusta, GA 309012602

Phone: 7068288402

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.