Sumit Sitole, M.D.
NPI 1205088507 · Ophthalmology Physician · Denver, CO
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumit Sitole, M.D. is a Ophthalmology Physician provider in Denver, CO (NPI 1205088507).
Provider details
- NPI number
- 1205088507
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D67988 (MD)
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
17 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
579 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) |
|---|---|---|
| Photography of Content of Eyes92285 | 154 | $21 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 147 | $112 |
| Exam of Visual Field With Extended Testing92083 | 97 | $65 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 65 | $91 |
| Extensive Repair of Turning-Outward Eyelid Defect67917 | 40 | $657 |
| Extensive Repair of Turning-Outward Eyelid Defect67917 | 24 | $585 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 318 | 218 |
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 83 | 60 |
| Prednisone | 73 | 58 |
| Azithromycin | 67 | 54 |
| Loteprednol Etabonatebrand: Lotemax | 19 | 15 |
| Loteprednol Etabonate | 16 | 13 |
| Desonide | 12 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24 across 1 record (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
- 2008-10-17
- Last updated
- 2012-09-10
Frequently asked questions
- What is Sumit Sitole's NPI number?
- Sumit Sitole's National Provider Identifier (NPI) is 1205088507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumit Sitole's specialty?
- Sumit Sitole is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Sumit Sitole located?
- Sumit Sitole's practice location on file with NPPES is 55 Madison St, Denver, CO 80206-5419.
- What is Sumit Sitole's phone number?
- The practice phone number listed in the NPPES registry for Sumit Sitole is (303) 377-2020.
- Does Sumit Sitole accept Medicare?
- Sumit Sitole is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumit Sitole's NPI active?
- Yes — Sumit Sitole's NPI (1205088507) is active in the NPPES registry as of the last update on 2012-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.