Doctor profile · Federal record
Dr. Sumit Walia, MD
Gastroenterology Physician (CMS: Gastroenterology) · Oklahoma City, OK
- NPI 1295963247
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 17 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3366 Nw Expressway Ste 400
Oklahoma City, OK 73112
(405) 702-1300
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- May 16, 2018
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Oklahoma #29236
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295963247. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
690
Distinct HCPCS
10
Medicare allowed
$95,869
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 96 | 95 | $236 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 82 | 81 | $86 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 76 | 76 | $155 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 65 | 65 | $152 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 64 | 58 | $84 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 63 | 60 | $118 | |
G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 57 | 57 | $171 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 | 47 | $123 | |
43235 |
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 39 | 39 | $90 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | 26 | $73 |
In context: peer comparison
Among 31 peers in Oklahoma City Gastroenterology Physician, average services per provider: 48. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$1,483
Transactions
106
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 38 | $592.94 | |
| Celgene Corporation | 31 | $300.90 | |
| Janssen Biotech, INC. | 13 | $142.81 | |
| Qol Medical, LLC | 4 | $91.29 | |
| Takeda Pharmaceuticals U.S.A., INC. | 3 | $56.67 | |
| Regeneron Healthcare Solutions, INC. | 3 | $54.59 | |
| Genzyme Corporation | 3 | $52.55 | |
| Merck Sharp & Dohme LLC | 3 | $46.75 | |
| Aimmune Therapeutics, INC. | 2 | $37.20 | |
| Celltrion USA INC. | 1 | $23.99 | |
| Lilly USA, LLC | 1 | $19.80 | |
| Ironwood Pharmaceuticals, INC | 1 | $18.12 | |
| Ardelyx, INC. | 1 | $16.14 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 1 | $15.00 | |
| Gilead Sciences, INC. | 1 | $14.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,094
Patients
510
Total drug cost
$89,862
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 200 | 68 | $2,631 |
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 181 | 178 | $3,158 |
| Pantoprazole Sodium | Generic | 120 | 33 | $1,996 |
| Famotidine | Generic | 79 | 22 | $886 |
| Colestipol Hcl | Generic | 76 | 34 | $5,619 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 72 | 70 | $5,637 |
| Mesalamine | Generic | 69 | 14 | $34,858 |
| Metoclopramide Hcl | Generic | 51 | 12 | $298 |
| Dicyclomine Hcl | Generic | 47 | 16 | $841 |
| Peg-3350 and Electrolytes (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 41 | 41 | $713 |
Hospital affiliations
Frequently asked questions
What is Dr. Sumit Walia's medical specialty?
Dr. Sumit Walia practices Gastroenterology Physician in Oklahoma City, OK.
Where does Dr. Sumit Walia practice?
Dr. Sumit Walia practices at 3366 Nw Expressway Ste 400, Oklahoma City, OK 73112. Office phone: 4057021300.
What is Dr. Sumit Walia's NPI?
Dr. Sumit Walia's National Provider Identifier (NPI) is 1295963247, issued by NPPES.
Does Dr. Sumit Walia accept Medicare assignment?
Yes. Dr. Sumit Walia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sumit Walia commonly perform?
Top Medicare-reported procedures in 2023: Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.