npidexNPI registry + Medicare data

MICHAEL SUMIDA, M.D.

Surgery Physician · ATHENS, TN

Individual Active NPI 1609835115

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024188476$308,750$68,687$53,839
2023207546$375,042$79,806$61,481
2022198489$384,189$68,868$52,520

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more120$151$111
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more91$82$61
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope41$75$60
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more36$118$85
45378Diagnostic exam of large bowel using a flexible endoscope28$162$127
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery24$176$147
G0105Colorectal cancer screening; colonoscopy on individual at high risk24$165$165
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more12$102$74

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgery Physician208600000X✓MD27304TN

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 Surgery Physician providers in Tennessee

See all 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.