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PROVIDER PROFILE · NPI 1457330318

Jeffrey SumnerM.D.

PRACTICECONNECTICUT ORTHOPAEDIC SPECIALISTS, PCSee all providers at this practice →
Orthopedic SurgeryHamden, CTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
87.8
Quality
79.3
Cost
80.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.54%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$156
Payment records
2
By payment type
Food and Beverage$156
PRESCRIBING · PART D · 2024
Total Rx claims
2,592
Beneficiaries
—
Total drug cost
$27K
Distinct drugs
19
Brand share
10.5%
Top prescribed drugs
Meloxicam583 claims
Gabapentin510 claims
Oxycodone Hcl257 claims
Tramadol Hcl248 claims
Celecoxib211 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
365
Unique beneficiaries
—
Total services
787
Distinct HCPCS
8
Medicare payment
$47K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 318 Orthopedic Surgery providers in CT — below median (cohort median 1,357).
REFERRAL NETWORK

Where Jeffrey 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). 6 inbound referrers · 18 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Llc
Clinical Laboratory · Wallingford, CT
81401
YALE NEW HAVEN HOSPITAL69181
American Medical Response Of Connecticut Incorporated
Ambulance Service Provider · New Haven, CT
47212
HARTFORD HEALTHCARE LABORATORIES24118
Durgadas Sakalkale
Physical Medicine and Rehabilitation · Hamden, CT
1566
VISITING NURSE ASSOCIATION COMMUNITY HEALTHCARE, INC1122
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
YALE NEW HAVEN HOSPITAL111480
Quest Diagnostics Llc
Clinical Laboratory · Wallingford, CT
86388
American Medical Response Of Connecticut Incorporated
Ambulance Service Provider · New Haven, CT
45208
YALE NEW HAVEN HOSPITAL3570
SOUTHERN CONNECTICUT IMAGING CENTERS LLC2967
Durgadas Sakalkale
Physical Medicine and Rehabilitation · Hamden, CT
28111
HARTFORD HEALTHCARE LABORATORIES24108
David Gibson
Orthopedic Surgery · Hamden, CT
1947
HAHN, IL SONG1972
Balaji Rao
Diagnostic Radiology · New Haven, CT
1742
James Brown
Diagnostic Radiology · Torrington, CT
1322
Yale University
Clinical Laboratory · New Haven, CT
1219
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.