Active NPI 1205398914 Individual Practitioner Female Practitioner

Sarah N Sumner

Nurse Practitioner - Gerontology • Cairo, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sarah Sumner is a certified Nurse Practitioner - Gerontology practicing in Cairo, GA. With approximately 8 years of clinical experience since completing medical education in 2018, Sarah Sumner delivers high-quality medical care to the local community at 1090 5TH ST SE.

Sarah Sumner is affiliated with Grady General Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1090 5th St Se

Cairo, GA 398283139

Telephone 2293771100

Associated Practice Facility / Clinic

🏢 James K Hester Md Pa Facility NPI 1841359932

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Cairo, GA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs Matches City Avg

City Avg: 8.0 Yrs

State Avg: 6.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Cairo, GA (296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumner (8 Years) 8 Yrs

Cairo Specialty Average (8.0 Years) 8.0 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	202	117	$230.00	$73.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	154	46	$275.00	$88.21
J1100 Injection, dexamethasone sodium phosphate, 1 mg	102	18	$4.03	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	72	$326.00	$103.30
J1885 Injection, ketorolac tromethamine, per 15 mg	48	13	$7.23	$0.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$330.00	$103.76
G0444 Annual depression screening, 5 to 15 minutes	45	45	$46.00	$15.07
36415 Insertion of needle into vein for collection of blood sample	42	37	$25.00	$8.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	27	$53.00	$11.46
81003 Automated urinalysis test	31	24	$8.00	$2.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$143.00	$45.54
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	20	19	$65.30	$61.51
G0008 Administration of influenza virus vaccine	15	15	$53.00	$30.39
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	13	$45.00	$16.20
90662 Influenza vaccine split virus, preservative free	13	13	$244.92	$80.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	325	165	$224.20	$72.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	232	17	$18.00	$1.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg	116	21	$10.00	$0.12
J1885 Injection, ketorolac tromethamine, per 15 mg	106	23	$11.81	$0.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	77	$317.17	$103.49
36415 Insertion of needle into vein for collection of blood sample	84	72	$25.00	$8.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	42	$53.00	$11.19
81003 Automated urinalysis test	67	41	$8.00	$2.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$323.48	$104.80
G0444 Annual depression screening, 5 to 15 minutes	45	45	$45.38	$14.65
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	43	34	$65.00	$36.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	11	$262.40	$87.17
20610 Aspiration and/or injection of fluid from large joint	28	16	$163.00	$51.24
83036 Hemoglobin A1C level	23	17	$33.00	$9.18
G0008 Administration of influenza virus vaccine	17	17	$53.00	$28.87
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	13	$45.00	$16.20
90662 Influenza vaccine split virus, preservative free	14	14	$140.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	99	$165.00	$72.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	67	$235.00	$104.21
36415 Insertion of needle into vein for collection of blood sample	74	66	$25.00	$2.97
J1885 Injection, ketorolac tromethamine, per 15 mg	71	15	$11.83	$0.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg	53	13	$10.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	30	$53.00	$11.36
81003 Automated urinalysis test	23	16	$8.00	$2.23
83036 Hemoglobin A1C level	20	16	$33.00	$9.59
G0444 Annual depression screening, 5 to 15 minutes	18	18	$39.00	$14.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$255.00	$106.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	97	$165.00	$73.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	107	33	$203.00	$73.65
J1885 Injection, ketorolac tromethamine, per 15 mg	93	21	$12.00	$0.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	56	$235.00	$104.97
36415 Insertion of needle into vein for collection of blood sample	47	46	$25.00	$2.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	28	$53.00	$11.30
83036 Hemoglobin A1C level	19	18	$33.00	$9.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$255.00	$106.79
81003 Automated urinalysis test	18	15	$8.00	$2.25
G0444 Annual depression screening, 5 to 15 minutes	16	16	$39.00	$14.72
99315 Nursing facility discharge day management, 30 minutes or less	13	12	$162.00	$59.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	80	39	$203.00	$75.53
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$165.00	$61.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	39	32	$153.00	$57.07
99315 Nursing facility discharge day management, 30 minutes or less	31	31	$162.00	$60.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$235.00	$88.83
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	13	$99.00	$36.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$96.00	$36.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	28	13	$203.00	$75.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$235.00	$85.40
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$162.00	$60.47

Medical Specialties & State Licenses

CMS Verified: 2022-02-22

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License GA RN227975

Definition to come...

Hospital & Practice Group Affiliations

Grady General Hospital

1155 5th St Se, Cairo, GA 398283142

Phone: 2293771150

Grady General Hospital

1090 5th St Se, Cairo, GA 398283139

Phone: 2293771100

Practice Associates & Co-Workers

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

4 Associated Practitioners

Anna Gray

Nurse Practitioner - Family

NPI 1083198584

Dr. James Hester , MD

Internal Medicine

NPI 1528015443

Doctor of Medicine (M.D.)

Stina Ruddell , PA

Physician Assistant - Medical

NPI 1770876302

Physician Assistant

Dr. Jason Nesmith , MD

Internal Medicine

NPI 1881858686

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated February 22, 2022

Recorded as SARAH SUMNER

✅

NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location April 02, 2019

Registered at 1090 5TH ST SE, CAIRO, GA 398283139 (Tel: 2293771100)

📍

Updated Business Mailing Address April 02, 2019

Registered at 900 CAIRO RD, THOMASVILLE, GA 317924255

👤

Provider Name / Credentials Updated April 02, 2019

Recorded as SARAH RICE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Nurse Practitioner (License #RN227975 in GA)

🟢

Initial NPI Registration & Enumeration April 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Sarah Sumner. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1205398914

Entity Type:

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

Enumeration Date: April 02, 2019

Last Update: February 22, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

900 Cairo Rd

Thomasville, GA 317924255

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.