Active NPI 1396747168 Individual Practitioner Male Practitioner

Dr. James R Sumner , DO

Surgery • Durant, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Sumner, DO is a certified Surgery practicing in Durant, OK. With approximately 41 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 1985, Dr. Sumner delivers high-quality medical care to the local community at 1610 W UNIVERSITY BLVD.

Dr. Sumner is affiliated with Choctaw Nation Of Oklahoma and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of large bowel using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1610 W University Blvd

Durant, OK 747013045

Telephone 5809243400

Fax 5809247732

Associated Practice Facility / Clinic

🏢 Lee Family Clinic Inc Facility NPI 1073558441

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Durant, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +11.2 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Durant, OK (386 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumner (41 Years) 41 Yrs

Durant Specialty Average (29.8 Years) 29.8 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$1456.00	$232.21
45380 Biopsy of large bowel using an endoscope	25	25	$1201.00	$115.80
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$267.03	$61.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$332.10	$76.27
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$192.48	$44.20
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$784.80	$168.09
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$789.00	$87.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	38	38	$1201.00	$179.30
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$152.52	$61.61
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$127.60	$45.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$789.00	$111.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$784.80	$173.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$225.22	$78.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1456.00	$238.74
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$931.00	$162.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$145.62	$64.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$217.00	$77.51
45380 Biopsy of large bowel using an endoscope	20	20	$1201.00	$183.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$789.00	$91.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	48	47	$1201.00	$171.79
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$145.00	$65.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$217.00	$78.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$789.00	$83.38
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$124.00	$47.85
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$931.00	$179.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	11	$1456.00	$246.15
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$755.49	$171.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$124.00	$49.46
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$145.00	$50.20
45380 Biopsy of large bowel using an endoscope	25	25	$1201.00	$184.40
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$931.00	$184.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	32	32	$1201.00	$185.59
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$145.00	$50.11
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$124.00	$49.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$217.00	$74.78
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$931.00	$187.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	39	39	$1201.00	$186.08
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$931.00	$176.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$210.30	$72.08
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$133.00	$48.23
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$827.88	$171.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$127.00	$73.06
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$94.00	$47.43

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 2555

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Choctaw Nation Of Oklahoma

1801 Chukkahina, Durant, OK 747017117

Phone: 580916914083828

Practice Associates & Co-Workers

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

9 Associated Practitioners

Charles Powers , PA

Physician Assistant

NPI 1114952678

Physician Assistant

Dr. Kevin Gordon , DO

Internal Medicine

NPI 1437151370

Doctor of Osteopathic Medicine (D.O.)

Dr. Jessica Anderson , DO

Family Medicine

NPI 1487100558

Doctor of Osteopathic Medicine (D.O.)

Georgia Banther , RD, LD

Dietitian, Registered

NPI 1487760633

Registered Dietitian, Licensed Dietitian

Dr. Olen Jestis , DO

Family Medicine

NPI 1578794087

Doctor of Osteopathic Medicine (D.O.)

Dr. William Harrison , DO

Family Medicine

NPI 1629070388

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1610 W UNIVERSITY BLVD, DURANT, OK 747013045 (Tel: 5809243400)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1610, DURANT, OK 747021610 (Tel: 5809243400)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES SUMNER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #2555 in OK)

🟢

Initial NPI Registration & Enumeration August 11, 2005

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: 1396747168

Entity Type:

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

Enumeration Date: August 11, 2005

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1610

Durant, OK 747021610

Phone: 5809243400

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.