Michael Sugarman, MD
NPI 1225027956 · Specialist · Newark, DE
Provider details
- NPI number
- 1225027956
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C1-0002708 (DE)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
817 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 215 | $171 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 187 | $208 |
| Fusion of Additional Segment of Spine22614 | 57 | $369 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 46 | $242 |
| Review By Radiologist of Ct Guidance for Needle Placement77012 | 39 | $65 |
| Computer-Assisted Spinal Procedure61783 | 33 | $218 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-15
- Last updated
- 2013-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.