Active NPI 1295098499 Individual Practitioner Male Practitioner

Dr. Brandon J Sumner , DO

Surgery • Denison, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brandon Sumner, DO is a certified Surgery practicing in Denison, TX. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Sumner delivers high-quality medical care to the local community at 5012 S US HIGHWAY 75 STE 105.

Dr. Sumner is affiliated with Texomacare Specialty Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit, 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

5012 S Us Highway 75 Ste 105

Denison, TX 750204611

Telephone 9034166490

Fax 9034631201

Associated Practice Facility / Clinic

🏢 Texomacare Facility NPI 1912419250

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Denison, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -2.5 yrs vs City Avg

City Avg: 16.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Denison, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumner (14 Years) 14 Yrs

Denison Specialty Average (16.5 Years) 16.5 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	68	$254.96	$124.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$220.03	$105.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$155.00	$75.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	13	$97.02	$47.32
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$180.00	$86.88
47562 Removal of gallbladder using an endoscope	11	11	$1307.00	$589.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$218.81	$106.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	40	$144.29	$73.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	43	$380.85	$164.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	40	$264.07	$125.26
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$178.53	$86.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	15	$97.85	$47.67
49650 Repair of groin hernia using an endoscope	13	13	$851.18	$476.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$268.00	$129.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	45	$141.00	$68.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$218.00	$107.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	12	$98.00	$36.86
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$178.00	$87.68
47562 Removal of gallbladder using an endoscope	20	20	$1298.00	$627.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	66	$268.00	$130.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	37	$141.00	$69.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$214.07	$105.55
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$169.94	$89.05
47562 Removal of gallbladder using an endoscope	21	20	$1298.00	$608.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	19	$204.00	$99.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	83	$268.00	$135.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$207.00	$104.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	33	$98.00	$38.49
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$140.00	$72.73
47562 Removal of gallbladder using an endoscope	16	16	$1298.00	$629.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$396.00	$196.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$141.00	$71.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	138	126	$268.00	$133.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	61	$98.00	$38.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$207.00	$104.06
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$140.00	$71.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	21	$141.00	$70.74
47562 Removal of gallbladder using an endoscope	23	23	$1298.00	$645.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$83.00	$43.19
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	17	15	$1658.00	$254.90
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2236.00	$332.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	95	$268.00	$133.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	39	$98.00	$38.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$207.00	$103.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$83.00	$42.06
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	19	16	$1658.00	$253.52
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$140.00	$70.23
47562 Removal of gallbladder using an endoscope	12	12	$1298.00	$643.32
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2236.00	$333.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	14	$98.00	$38.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$207.00	$102.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$268.00	$132.74

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IA R-09531

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

Texomacare Specialty Physicians

5012 S Us Hwy 75, Denison, TX 750204632

Phone: 9034166550

Texomacare Specialty Physicians

5012 S Us Hwy 75, Denison, TX 750204587

Texomacare Specialty Physicians

5012 S Us Hwy 75, Denison, TX 750204597

Phone: 9034166325

Texomacare Specialty Physicians

5016 S Us Hwy 75, Denison, TX 750204584

Phone: 9034164030

Secondary Practice Locations

1111 6th Ave

Des Moines, IA 503142613

Phone: 5156432261

Practice Associates & Co-Workers

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

5 Associated Practitioners

George Tompkins , PA-C

Physician Assistant

NPI 1255736427

Physician Assistant (Certified)

Kelsey Ferguson , APRN

Nurse Practitioner - Acute Care

NPI 1336946847

Advanced Practice Registered Nurse

Dr. Matthew Burruss , MD

Surgery

NPI 1518194984

Doctor of Medicine (M.D.)

Dr. Rolando Oro , MD

Surgery

NPI 1639161599

Doctor of Medicine (M.D.)

Morgan Floyd

Surgery

NPI 1942662952

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location November 18, 2019

Registered at 5012 S US HIGHWAY 75 STE 105, DENISON, TX 750204611 (Tel: 9034166490)

✅

NPI Profile Active October 09, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address October 09, 2017

Registered at 5012 S US HIGHWAY 75 STE 300, ATT. BILLING, DENISON, TX 750204589 (Tel: 9034631200)

📍

Updated Practice Location October 09, 2017

Registered at 5012 S US HIGHWAY 75 STE 210, DENISON, TX 750204590 (Tel: 9034161726)

👤

Provider Name / Credentials Updated October 09, 2017

Recorded as BRANDON SUMNER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2017

Surgery (License #R-09531 in IA)

📍

Updated Practice Location August 03, 2017

Registered at 5012 S US HIGHWAY 75 STE 210, DENISON, TX 750204590 (Tel: 9034161726)

📍

Updated Business Mailing Address August 03, 2017

Registered at PO BOX 844693, DALLAS, TX 752844693 (Tel: (903) 416-1726)

✅

NPI Profile Active October 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2014

Registered at 1111 6TH AVE, DES MOINES, IA 503142613 (Tel: 5156432261)

📍

Updated Business Mailing Address October 27, 2014

Registered at 1111 6TH AVE, DES MOINES, IA 503142613 (Tel: 5156432261)

👤

Provider Name / Credentials Updated October 27, 2014

Recorded as BRANDON SUMNER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2014

Surgery (License #R-09531 in IA)

🟢

Initial NPI Registration & Enumeration June 21, 2012

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: 1295098499

Entity Type:

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

Enumeration Date: June 21, 2012

Last Update: November 18, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5012 S Us Highway 75 Ste 300, Att. Billing

Denison, TX 750204589

Phone: 9034166490

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.