Matthew Sugalski, M.D.
NPI 1487657169 · Orthopaedic Surgery Physician · Lebanon, TN
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Sugalski, M.D. is a Orthopaedic Surgery Physician provider in Lebanon, TN (NPI 1487657169).
Provider details
- NPI number
- 1487657169
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD13601 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
21 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
256 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 | 55 | $83 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $115 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 32 | $65 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 30 | $30 |
| X-Ray of Hip, 2-3 Views73502 | 25 | $42 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 45 | 32 |
| Cephalexin | 17 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$104 across 4 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
Additional practice locations (2)
- 300 Stonecrest Blvd Ste 220Smyrna, TN 37167-6800Phone: (615) 730-8626
- 300 Stonecrest Blvd Ste 230Smyrna, TN 37167-6800Phone: (615) 730-8626
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Matthew Sugalski's NPI number?
- Matthew Sugalski's National Provider Identifier (NPI) is 1487657169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Sugalski's specialty?
- Matthew Sugalski is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Sugalski located?
- Matthew Sugalski's practice location on file with NPPES is 1430 W Baddour Pkwy Ste a, Lebanon, TN 37087-2656.
- What is Matthew Sugalski's phone number?
- The practice phone number listed in the NPPES registry for Matthew Sugalski is (615) 730-8626.
- Does Matthew Sugalski accept Medicare?
- Matthew Sugalski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Sugalski's NPI active?
- Yes — Matthew Sugalski's NPI (1487657169) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.