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DR. WILLIAM E SUMNER III MD, FACS
NPI 1174531586
Surgery - Surgical Oncology in Jacksonville, FL

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
85.92/100
CMS Quality Rating
2 SHIRCLIFF WAY, SUITE 500, JACKSONVILLE, FL 32204(904) 389-8871 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. William E Sumner Iii Md, Facs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM E SUMNER III MD, FACS (NPI 1174531586) is an individual surgical oncology provider in Jacksonville, Florida, licensed in Florida (ME93361) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of University Of South Florida College Of Medicine (1997).

NPPES Registry Identity

NPI1174531586
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. WILLIAM E SUMNER IIICredential: MD, FACS
Location Address2 SHIRCLIFF WAY, SUITE 500Jacksonville, FL 32204-4763
Mailing Address11945 San Jose Blvd., Bldg. 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 399-1717
Phone(904) 389-8871
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1997
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 22, 2011
✔ NPI 1174531586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in FL · ME93361
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License ME93361 (FL)
2 SHIRCLIFF WAY, Jacksonville, FL 32204
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Other Identifiers 1

Medicare PINAB636YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William E Sumner Iii Md, Facs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577667161
PECOS Enrollment IDI20070410000071
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show William Sumner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Florida Surgeons, PA
11 mi
Surgery
11945 SAN JOSE BLVD STE 300
Jacksonville, FL 32223
  • Reassigned Medicare billing, Florida enrollment
  • 321 clinicians in this Medicare group
NPI 1912953290 (904) 396-1725

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services112 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.59
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Advance Care Plan
89%536 patients4/55-star benchmark: 100%
Breast Cancer Screening
16%237 patients1/55-star benchmark: 93%
Cervical Cancer Screening
1%157 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
57%115 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
7%488 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
59%157 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
11%76 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%76 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%1,333 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
3%468 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
58%813 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%767 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%974 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 35% · 590 patients
Patients screened: 35% · 590 patients
91%23 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
82%640 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%172 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 494 patients
Patients totalRate: 3% · 494 patients
3%494 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ID ASSOCIATES OF JACKSONVILLE PA
Internal Medicine (Infectious Disease)
2 SHIRCLIFF WAY, STE 610
JACKSONVILLE, FL 32204
Duval County (904) 387-5027
CONSOLIDATED PHARMACY SERVICES
Durable Medical Equipment & Medical Supplies
2 SHIRCLIFF WAY, SUITE 205
JACKSONVILLE, FL 32204
Duval County (904) 308-7220
SUSAN L CATTO ARNP
Nurse Practitioner (Adult Health)
2 SHIRCLIFF WAY, STE 800
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
BRANDON TRUMBLE AGACNP-BC
Nurse Practitioner (Critical Care Medicine)
2 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MRS. ALLISON WINFREY KOTOWSKI LCSW
Social Worker (Clinical)
2 SHIRCLIFF WAY, STE 800
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
SAMER SALAMEKH M.D.
Radiology (Radiation Oncology)
2 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
MIROSLAV UCHAL MD
Surgery
2 SHIRCLIFF WAY, SUITE 500
JACKSONVILLE, FL 32204
Duval County (904) 389-8861
JAMES DUNCAN BAKER III M.D., PA
Internal Medicine (Nephrology)
2 SHIRCLIFF WAY, STE 700 DEPAUL BLDG.
JACKSONVILLE, FL 32204
Duval County (904) 389-5333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Sumner's NPI number?

The NPI number for William Sumner is 1174531586. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is William Sumner located?

William Sumner practices at 2 Shircliff Way Suite 500, Jacksonville, FL 32204. The listed phone number is (904) 389-8871.

What is William Sumner's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is William Sumner enrolled in Medicare?

Yes. William Sumner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for William Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Sumner reassigns Medicare benefits to North Florida Surgeons, PA (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Sumner accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list William Sumner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Sumner affiliated with any hospitals?

According to CMS data, William Sumner is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Ascension St Vincent's Southside, Ascension St Vincent's Clay County and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for William Sumner was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.