Mark Sumida, MD
NPI 1093764037 · Orthopaedic Surgery Physician · Hixson, TN
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Sumida, MD is a Orthopaedic Surgery Physician provider in Hixson, TN (NPI 1093764037).
Provider details
- NPI number
- 1093764037
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20177 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,937 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 492 | $83 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 389 | $65 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 342 | $117 |
| X-Ray of Knee, 3 Views73562 | 252 | $36 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 104 | $31 |
| X-Ray of Foot, Minimum of 3 Views73630 | 90 | $30 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 156 | 65 |
| Ondansetronbrand: Ondansetron Odt | 81 | 75 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 72 | 55 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 68 | 51 |
| Amoxicillin | 41 | 30 |
| Celecoxib | 28 | 16 |
| Apixabanbrand: Eliquis |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,013 across 26 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2023-02-20
- Certified
- 2023-02-20
Frequently asked questions
- What is Mark Sumida's NPI number?
- Mark Sumida's National Provider Identifier (NPI) is 1093764037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Sumida's specialty?
- Mark Sumida is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Sumida located?
- Mark Sumida's practice location on file with NPPES is 1724 Hamill Road Suite 204, Hixson, TN 37343.
- What is Mark Sumida's phone number?
- The practice phone number listed in the NPPES registry for Mark Sumida is (423) 877-4705.
- Does Mark Sumida accept Medicare?
- Mark Sumida is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Sumida's NPI active?
- Yes — Mark Sumida's NPI (1093764037) is active in the NPPES registry as of the last update on 2023-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.