npidexNPI registry + Medicare data

MARK SUMIDA, MD

Orthopaedic Surgery Physician · HIXSON, TN

Individual Active NPI 1093764037

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244066,459$859,387$209,766$153,774
20234625,193$1,117,614$268,692$202,871
20224193,986$885,665$220,543$162,559

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J1010Injection, methylprednisolone acetate, 1 mg2,201$0$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,968$1$1
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more492$83$60
20610Aspiration and/or injection of fluid from large joint389$65$47
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more342$117$83
73562X-ray of knee, 3 views252$36$26
73030X-ray of shoulder, minimum of 2 views104$31$23
73630X-ray of foot, minimum of 3 views90$30$23
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more63$151$90
73610X-ray of ankle, minimum of 3 views48$32$22
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more42$102$59
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more41$163$127

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Orthopaedic Surgery Physician207X00000X✓20177TN

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Orthopaedic Surgery Physician providers in Tennessee

See all Orthopaedic Surgery Physician providers in Tennessee →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.