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DR. BRIAN DANIEL SUMNER MD
NPI 1427518240
Emergency Medicine in Queens, NY

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
25-10 30TH AVE, QUEENS, NY 11102(718) 932-1000 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2024, Aug 23, 2023, Mar 20, 2019 (3 updates tracked since 2019).

About Dr. Brian Daniel Sumner Md NPPES

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

DR. BRIAN DANIEL SUMNER MD (NPI 1427518240) is an individual emergency medicine provider in Queens, New York, licensed in New York (319576) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1427518240
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRIAN DANIEL SUMNERCredential: MD
Location Address25-10 30TH AVEQueens, NY 11102
Mailing Address250 W 57th St Fl 15New York, NY 10107-1307
Phone(718) 932-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateApril 23, 20243 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1427518240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 319576
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
25-10 30TH AVE, Queens, NY 11102
Open in Google Maps ↗

Secondary Practice Location 1

Location 11111 Amsterdam AveNew York, NY 10025-1716 · Phone (212) 523-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Daniel Sumner Md 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 ID7911237078
PECOS Enrollment IDI20231016002981, I20240604002249
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.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
60 services38 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
24 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services12 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11102 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

JENNY CHEN
Physical Therapy Assistant
25-10 30TH AVE
QUEENS, NY 11102
Queens County (718) 267-4263
DR. ABBE M LINDSEY MD
Emergency Medicine
25-10 30TH AVE, MOUNT SINAI HOSPITAL OF QUEENS. DEPT. OF EMERGENCY MED.
LONG ISLAND CITY, NY 11102
Queens County (718) 267-4390
JULIE HOPE KOTOWICZ LMSW
Social Worker
25-10 30TH AVE
ASTORIA, NY 11102
Queens County (718) 267-4273
SEAHRISH JAVED HASHMANI
Physician Assistant
25-10 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (212) 241-6500
MR. JIMMY YUEN HING LEE RPAC
Physician Assistant
25-10 30TH AVE, MOUNT SINAI HOSPITAL OF QUEENS
LONG ISLAND CITY, NY 11102
Queens County (631) 267-4285
SHANIQUE OMEALLY-SOTO NP
Nurse Practitioner (Adult Health)
25-10 30TH AVE
ASTORIA, NY 11102
Queens County (718) 932-1000
JOHN MICHAEL VASZARI MD
Psychiatry & Neurology (Psychiatry)
25-10 30TH AVE
ASTORIA, NY 11102
Queens County (212) 659-8752

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 Brian Sumner's NPI number?

The NPI number for Brian Sumner is 1427518240. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Brian Sumner located?

Brian Sumner practices at 25-10 30th Ave, Queens, NY 11102. The listed phone number is (718) 932-1000.

What is Brian Sumner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brian Sumner enrolled in Medicare?

Yes. Brian 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.

Is Brian Sumner affiliated with any hospitals?

According to CMS data, Brian Sumner is affiliated with Valley Hospital and Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Brian Sumner was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.