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JAMES EDWARD SUMNERS MD
NPI 1588649115
Obstetrics & Gynecology - Maternal & Fetal Medicine in Indianapolis, IN

Active since December 07, 2005PECOS Enrolled
8081 TOWNSHIP LINE RD STE 200, INDIANAPOLIS, IN 46260(317) 415-8070 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Edward Sumners Md NPPES

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

JAMES EDWARD SUMNERS MD (NPI 1588649115) is an individual maternal & fetal medicine provider in Indianapolis, Indiana, licensed in Indiana (01032931A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588649115
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameJAMES EDWARD SUMNERSCredential: MD
Location Address8081 TOWNSHIP LINE RD STE 200Indianapolis, IN 46260-2188
Mailing Address10330 N Meridian St # 300Indianapolis, IN 46290-1024
Phone(317) 415-8070
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateFebruary 2, 2018
✔ NPI 1588649115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in IN · 01032931A
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 01032931A (IN)
Also ListedPediatricsTaxonomy 208000000X · License 01032931A (IN)
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 01032931A (IN)
8081 TOWNSHIP LINE RD STE 200, Indianapolis, IN 46260
Open in Google Maps ↗

Other Identifiers 2

Medicaid100191990IN
OtherP01307631IN · Medicare Rr Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Edward Sumners Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
20%230 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
3%31 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%255 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
33%1,481 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%23 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%1,481 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
87%1,481 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
63%1,481 patients
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

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

MORGAN E VERRILL MS, LCGC
Genetic Counselor, MS
8081 TOWNSHIP LINE RD STE 200
INDIANAPOLIS, IN 46260
Marion County (317) 415-8074

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 James Sumners's NPI number?

The NPI number for James Sumners is 1588649115. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is James Sumners located?

James Sumners practices at 8081 Township Line Rd Ste 200, Indianapolis, IN 46260. The listed phone number is (317) 415-8070.

What is James Sumners's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is James Sumners enrolled in Medicare?

Yes. James Sumners is registered in the Medicare PECOS enrollment system.

What insurance does James Sumners accept?

Health plans from CareSource and Imperial Insurance Companies, Inc. list James Sumners 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.

When was this NPI record last updated?

The NPPES record for James Sumners was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.