BRANDON J SUMNER D.O.
NPI 1295098499
Surgery in Denison, TX
About Brandon J Sumner D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON J SUMNER D.O. (NPI 1295098499) is an individual surgery provider in Denison, Texas, licensed in Iowa (R-09531) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and maintains a secondary practice location in Des Moines.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Brandon J Sumner D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Brandon Sumner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denison, TX 75020
- Reassigned Medicare billing, Texas enrollment
- 40 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texoma Medical Center
Acute Care Hospitals · Denison, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brandon Sumner's NPI number?
The NPI number for Brandon Sumner is 1295098499. It was assigned to this individual provider in the NPPES registry on June 21, 2012.
Where is Brandon Sumner located?
Brandon Sumner practices at 5012 S Us Highway 75 Ste 105, Denison, TX 75020. The listed phone number is (903) 416-6490.
What is Brandon Sumner's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Brandon Sumner enrolled in Medicare?
Yes. Brandon 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 Brandon Sumner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Sumner reassigns Medicare benefits to Texomacare Specialty Physicians (Denison, TX). 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 Brandon Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandon Sumner accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Brandon 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 Brandon Sumner affiliated with any hospitals?
According to CMS data, Brandon Sumner is affiliated with Texoma Medical Center.
When was this NPI record last updated?
The NPPES record for Brandon Sumner was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Brandon J Sumner, D.O. · NPI 1295098499
Surgery physician in Denison, Texas. Individual provider, active in the CMS NPPES registry since June 21, 2012.
## Identity
- **NPI:** 1295098499 (Entity type: Individual)
- **Enumerated:** June 21, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** R-09531 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 5012 S US HIGHWAY 75 STE 105, Denison, TX 75020-4611
- **Phone:** (903) 416-6490 · **Fax:** (903) 463-1201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texomacare Specialty Physicians (NPI 1548541733, Denison, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1295098499) · Data from the CMS NPPES public registry.