PROVIDER PROFILE · NPI 1174531586

William SumnerMD, FACS

General SurgeryJacksonville, FLI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

267

Unique beneficiaries

—

Total services

335

Distinct HCPCS

Medicare payment

$30K

Peer benchmark

Total Medicare services vs. 1,308 General Surgery providers in FL — top quintile (cohort median 298).

PRESCRIBING · PART D · 2024

Total Rx claims

156

Beneficiaries

—

Total drug cost

$7K

Distinct drugs

Brand share

83.3%

Top prescribed drugs

Hydrocodone/Acetaminophen75 claims

Oxycodone Hcl/Acetaminophen36 claims

Lipase/Protease/Amylase19 claims

Levothyroxine Sodium15 claims

Oxycodone Hcl11 claims

QUALITY · MIPS · 2024

Final MIPS score

85.5

Quality

71.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.44%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Travel and Lodging$2K

Food and Beverage$2K

Gift$24

Top paying entities

Travel and Lodging$2K

Food and Beverage$2K

Gift$24

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where William Sumner's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 21 inbound referrers · 46 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST VINCENTS MEDICAL CENTER INC	164	567
Yousif Abubakr Hematology-Oncology · Jacksonville, FL	47	150
Christopher Roman Diagnostic Radiology · Tulsa, OK	34	64
Zachary Brown Diagnostic Radiology · Jacksonville, FL	26	66
James Carter Diagnostic Radiology · Jacksonville, FL	26	59
City Of Jacksonville Ambulance Service Provider · Jacksonville, FL	24	36
Joseph Dunn Interventional Radiology · Jacksonville, FL	23	56
ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC.	22	103
James Russell Diagnostic Radiology · Jacksonville, FL	21	49
Jonathan Constantin Cardiology · Ocala, FL	18	45
Elizabeth Bathala Diagnostic Radiology · Jacksonville, FL	17	37
Ario Rezaei Diagnostic Radiology · Jacksonville, FL	16	41

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ST VINCENTS MEDICAL CENTER INC	81	268
ST. VINCENT'S MEDICAL CENTER, INC.	49	179
Yousif Abubakr Hematology-Oncology · Jacksonville, FL	44	195
Mateo Jurasic Diagnostic Radiology · Jacksonville, FL	39	99
James Carter Diagnostic Radiology · Jacksonville, FL	34	110
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Tampa, FL	33	93
Suprith Badarinath Hematology-Oncology · Jacksonville, FL	30	102
Elizabeth Bathala Diagnostic Radiology · Jacksonville, FL	30	67
TOLEDO, ANTHONY	29	58
Paul Byra Diagnostic Radiology · Jacksonville, FL	29	89
Brett Cantrell Pathology · Jacksonville, FL	27	65
James Russell Diagnostic Radiology · Jacksonville, FL	25	75

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history