Doctor profile · Federal record
Dr. Michael Sumida, M.D.
Surgery Physician (CMS: General Surgery) · Athens, TN
- NPI 1609835115
- Accepts Medicare
- 32 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
719 Cook Dr, Ste 109
Athens, TN 373033495
(423) 745-2344
fax (423) 745-2314 - Mailing address
-
Po Box 667
Etowah, TN 373310667
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- March 1, 2010
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Tennessee #MD27304
- Medicaid
- TN #3096585
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1609835115. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
404
Distinct HCPCS
8
Medicare allowed
$47,426
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 68 | 68 | $154 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 66 | 58 | $83 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $103 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 59 | 59 | $166 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 48 | 39 | $117 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 43 | 28 | $52 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 32 | 32 | $85 | |
45384 |
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 26 | 26 | $180 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 51. This provider delivers 7.9× the peer median.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Myriad Genetic Laboratories, Inc. | 1 | $16.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
124
Patients
68
Total drug cost
$1,031
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 46 | 21 | $413 |
| Pantoprazole Sodium | Generic | 35 | 17 | $279 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 32 | 30 | $211 |
| Omeprazole | Generic | 11 | 0 | $128 |
Hospital affiliations
Frequently asked questions
What is Dr. Michael Sumida's medical specialty?
Dr. Michael Sumida practices Surgery Physician in Athens, TN.
Where does Dr. Michael Sumida practice?
Dr. Michael Sumida practices at 719 Cook Dr, Athens, TN 373033495. Office phone: 4237452344.
What is Dr. Michael Sumida's NPI?
Dr. Michael Sumida's National Provider Identifier (NPI) is 1609835115, issued by NPPES.
Does Dr. Michael Sumida accept Medicare assignment?
Yes. Dr. Michael Sumida accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Sumida commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.