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BRIAN PATRICK SUMNER OD.
NPI 1588667992
Optometrist in Washington, MO

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
320 WASHINGTON AVE, WASHINGTON, MO 63090(636) 239-2179(636) 239-9592 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian Patrick Sumner Od. NPPES

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

BRIAN PATRICK SUMNER OD. (NPI 1588667992) is an individual optometrist in Washington, Missouri, licensed in Missouri (TO2351) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1978).

NPPES Registry Identity

NPI1588667992
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRIAN PATRICK SUMNERCredential: OD.
Location Address320 WASHINGTON AVEWashington, MO 63090-3218
Mailing Address320 Washington AveWashington, MO 63090-3218 · (636) 239-2179 · Fax (636) 239-9592
Phone(636) 239-2179
Fax(636) 239-9592
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1978
Enumeration DateMay 31, 2005
Last NPPES UpdateJune 8, 2020
NPPES CertifiedJune 8, 2020
✔ NPI 1588667992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · TO2351
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
320 WASHINGTON AVE, Washington, MO 63090
Open in Google Maps ↗

Other Identifiers 5

Other2202100MO · United Health Care
Other233006MO · Group Health Plan
Other32218MO · Blue Cross Blue Shield
Medicaid310206214MO
Other122489MO · Healthlink

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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

Brian Patrick Sumner Od. 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 ID4587798145
PECOS Enrollment IDI20100818000240
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 Brian Sumner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Biermann Eye Health P.C.
20 mi
Optometrist
277 W VETERANS MEMORIAL PKWY
Warrenton, MO 63383
  • Reassigned Medicare billing, Missouri enrollment
  • 3 clinicians in this Medicare group
NPI 1972929826 (636) 456-2020

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 2

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 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.
32 services31 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES

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

SUMNER PRIMARY EYECARE, P.C.
Optometrist
320 WASHINGTON AVE
WASHINGTON, MO 63090
Franklin County (636) 239-2179

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 1588667992. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Brian Sumner located?

Brian Sumner practices at 320 Washington Ave, Washington, MO 63090. The listed phone number is (636) 239-2179.

What is Brian Sumner's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

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.

Which organization bills Medicare for Brian Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Sumner reassigns Medicare benefits to Biermann Eye Health P.C. (Warrenton, MO). 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 Brian Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Sumner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 14 other insurers list Brian 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.

When was this NPI record last updated?

The NPPES record for Brian Sumner was last updated on June 8, 2020. 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.