Doctor profile · Federal record
Dr. Sumit Sitole, M.D.
Ophthalmology Physician (CMS: Ophthalmology) · Denver, CO
- NPI 1205088507
- Accepts Medicare
- MIPS 82.2 / 100 · 2023
- 22 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
55 Madison St, 355
Denver, CO 802065419
(303) 377-2020
fax (303) 388-0606 - Mailing address
-
5245 Skytrail Dr
Bow Mar, CO 801231566
Credentials & registration
- NPI registered
- October 2008 — 18 yrs on file
- Profile last updated
- September 10, 2012
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- State license (1)
- Maryland #D67988
- Medicaid
- CO #84034785
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205088507. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
766
Distinct HCPCS
10
Medicare allowed
$164,092
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 177 | 177 | $113 | |
92285 |
Photography of content of eyes | 169 | 159 | $21 | |
92083 |
Exam of visual field with extended testing | 108 | 106 | $64 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 76 | 62 | $90 | |
67917 |
Extensive repair of turning-outward eyelid defect | 57 | 47 | $607 | |
68840 |
Probing of nasal tear duct | 35 | 32 | $185 | |
67904 |
Repair of tendon of upper eyelid | 29 | 29 | $883 | |
67917 |
Extensive repair of turning-outward eyelid defect | 29 | 25 | $468 | |
67904 |
Repair of tendon of upper eyelid | 23 | 21 | $989 | |
67875 |
Temporary closure of eyelids by suture | 19 | 14 | $94 |
In context: peer comparison
Among 22 peers in this city , average services per provider: 226. This provider delivers 3.4× the peer median.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BIOTISSUE HOLDINGS INC. | 1 | $24.45 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
694
Patients
516
Total drug cost
$27,289
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) | Brand | 392 | 254 | $6,591 |
| Prednisone | Generic | 76 | 67 | $237 |
| Tobramycin-Dexamethasone (Tobramycin/Dexamethasone) | Brand | 75 | 59 | $3,935 |
| Azithromycin | Generic | 72 | 64 | $276 |
| Lotemax (Loteprednol Etabonate) | Brand | 28 | 27 | $10,143 |
| Loteprednol Etabonate | Generic | 25 | 21 | $5,031 |
| Cephalexin | Generic | 13 | 11 | $105 |
| Desonide | Generic | 13 | 13 | $971 |
Frequently asked questions
What is Dr. Sumit Sitole's medical specialty?
Dr. Sumit Sitole practices Ophthalmology Physician in Denver, CO.
Where does Dr. Sumit Sitole practice?
Dr. Sumit Sitole practices at 55 Madison St, Denver, CO 802065419. Office phone: 3033772020.
What is Dr. Sumit Sitole's NPI?
Dr. Sumit Sitole's National Provider Identifier (NPI) is 1205088507, issued by NPPES.
Does Dr. Sumit Sitole accept Medicare assignment?
Yes. Dr. Sumit Sitole accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sumit Sitole commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Photography of content of eyes (HCPCS 92285); Exam of visual field with extended testing (HCPCS 92083). Source: CMS Medicare Physician & Other Practitioners file.