Thomas Sugarman, M.D
NPI 1609895903 · Emergency Medicine Physician · Antioch, CA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Sugarman, M.D is a Emergency Medicine Physician provider in Antioch, CA (NPI 1609895903).
Provider details
- NPI number
- 1609895903
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 82516-20 (WI)
Specialties & taxonomies
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 tenure28% of score
19 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
76 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 34 | $164 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 25 | $8 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 17 | $113 |
Typical Medicare-allowed amounts for these services range $8–$164 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2024-06-18
- Certified
- 2024-06-18
Frequently asked questions
- What is Thomas Sugarman's NPI number?
- Thomas Sugarman's National Provider Identifier (NPI) is 1609895903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Sugarman's specialty?
- Thomas Sugarman is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Sugarman located?
- Thomas Sugarman's practice location on file with NPPES is 3901 Lone Tree Way, Antioch, CA 94509-6200.
- What is Thomas Sugarman's phone number?
- The practice phone number listed in the NPPES registry for Thomas Sugarman is (925) 779-7273.
- Does Thomas Sugarman accept Medicare?
- Thomas Sugarman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Sugarman's NPI active?
- Yes — Thomas Sugarman's NPI (1609895903) is active in the NPPES registry as of the last update on 2024-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.