Susan Butler Sumner, M.D.
NPI 1205896305ActiveIndividual· Family Medicine· Cave Spring, GA
Family Medicine (M.D.) in Cave Spring, Georgia, trained at Medical College of Georgia School of Medicine (class of 1982). Their prescriptions cost Medicare Part D more than their services did: $1,038,941 for 8,893 claims, against $20,180 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $1,641 in all, mostly food and beverage.
Overview
| NPI | 1205896305 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 24, 2006 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Apr 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 29851 | GA |
| Family Medicine | 207Q00000X | 01201822021 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 3,866 across 38 procedure codes |
| Paid by Medicare | $20,180 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,893 · 13,694 30-day fills |
|---|---|
| Patients | 211 |
| Total drug cost | $1,038,941 |
| Generic share | 83% of claims |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Family Practice |
Hospital affiliation
- Adventhealth RedmondRome, GA
Industry payments (Open Payments)
- 2025$1,641 · 88 payments from 15 companies
- 2024$1,409 · 59 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $494.31 | 31 |
| Novo Nordisk Inc | $349.87 | 9 |
| Abbvie Inc. | $247.49 | 17 |
| Axsome Therapeutics, Inc. | $208.06 | 9 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $63.98 | 3 |
What the 2025 payments were for
- Food and Beverage$1,641 · 88 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in Cave Spring
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- 1902741598