Doctor profile · Federal record
Dr. Mark Sumida, MD
Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Hixson, TN
- NPI 1093764037
- Accepts Medicare
- 38 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1724 Hamill Road Suite 204
Hixson, TN 37343
(423) 877-4705
fax (423) 877-9970 - Mailing address
-
3024 Business Park Cir
Goodlettsville, TN 370723132
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- February 20, 2023
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 207X00000X — NUCC code
- State license (1)
- Tennessee #20177
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093764037. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,724
Distinct HCPCS
10
Medicare allowed
$210,319
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,225 | 234 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 566 | 314 | $83 | |
20610 |
Aspiration and/or injection of fluid from large joint | 428 | 213 | $64 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 394 | 246 | $117 | |
73562 |
X-ray of knee, 3 views | 296 | 212 | $37 | |
73030 |
X-ray of shoulder, minimum of 2 views | 137 | 103 | $31 | |
73630 |
X-ray of foot, minimum of 3 views | 103 | 69 | $31 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 84 | 84 | $152 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 81 | 72 | $164 | |
73502 |
X-ray of hip, 2-3 views | 78 | 60 | $42 |
In context: peer comparison
Among 1 peers in Hixson Orthopaedic Surgery Physician, average services per provider: 214. This provider delivers 22× the peer median.Open Payments
Industry payments received
All-time total
$3,013
Transactions
26
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smoky Mountain Surgical LLC | 10 | $1,194.99 | |
| Arthrex, INC. | 10 | $973.70 | |
| Smith+Nephew, INC. | 4 | $666.43 | |
| Medacta USA, INC. | 2 | $178.27 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
505
Patients
382
Total drug cost
$11,753
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 154 | 88 | $421 |
| Ondansetron Odt (Ondansetron) | Brand | 70 | 65 | $386 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 69 | 56 | $314 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 63 | 51 | $219 |
| Celecoxib | Generic | 42 | 27 | $757 |
| Amoxicillin | Generic | 33 | 26 | $50 |
| Eliquis (Apixaban) | Brand | 26 | 21 | $9,350 |
| Ondansetron Hcl | Generic | 23 | 23 | $65 |
| Methylprednisolone | Generic | 14 | 14 | $142 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 11 | 11 | $49 |
Hospital affiliations
Frequently asked questions
What is Dr. Mark Sumida's medical specialty?
Dr. Mark Sumida practices Orthopaedic Surgery Physician in Hixson, TN.
Where does Dr. Mark Sumida practice?
Dr. Mark Sumida practices at 1724 Hamill Road Suite 204, Hixson, TN 37343. Office phone: 4238774705.
What is Dr. Mark Sumida's NPI?
Dr. Mark Sumida's National Provider Identifier (NPI) is 1093764037, issued by NPPES.
Does Dr. Mark Sumida accept Medicare assignment?
Yes. Dr. Mark Sumida accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Sumida commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.