Dr. Sumit M. Sitole, MD

  • Lone Tree, CO
  • Ophthalmologist
NPI1205088507PAC ID0840352159
Medicare services, 2024
579
Medicare patients, 2024
191
Part D claims, 2024
623
MIPS score, 2024
83
Industry payments
$808
Practice address
9777 S Yosemite St, Lone Tree, CO 80124
Practice phone
Call (303) 708-2943
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

InSight Surgery Center - Lone Tree

Surgery Center - Medicare-Certified · Lone Tree, Colorado

See all 3 affiliations

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Dr. Sumit M. Sitole is an ophthalmologist in Lone Tree, Colorado

Dr. Sitole practices at InSight Surgery Center - Lone Tree in Lone Tree, Colorado.

Dr. Sitole's NPI, 1205088507, was assigned on October 17, 2008. Dr. Sitole graduated from Tufts University School of Medicine in 2004. Dr. Sitole holds Maryland license D67988.

NPI and contact details
Medicare PAC ID
0840352159
NPI enumeration date
October 17, 2008
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(303) 708-2943
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
48
Medical school graduation
2004

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Sumit M. Sitole practices at InSight Surgery Center - Lone Tree in Lone Tree, Colorado

Dr. Sitole's primary practice is InSight Surgery Center - Lone Tree, at 9777 S Yosemite St, Lone Tree, CO 80124. The practice phone is (303) 708-2943.

  • InSight Surgery Center - Lone Tree
    9777 S Yosemite St, Lone Tree, CO 80124Phone(303) 708-2943

Source: Dmand AI Affiliation Data

Dr. Sumit M. Sitole is affiliated with 2 sites of care and 1 medical group

Dr. Sitole's primary practice is InSight Surgery Center - Lone Tree in Lone Tree, Colorado. Dmand AI also links Dr. Sitole to 1 group practice or clinic and 1 medical group, each named with a free account.

InSight Surgery Center - Lone TreeSurgery Center - Medicare-Certified · Lone Tree, ColoradoPrimary
1 group practice or clinicName with a free account1 medical groupName with a free accountParent health systemName with a free account
See all 3 affiliations for Dr. Sitole

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Sumit M. Sitole's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Sitole practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
InSight Surgery Center - Lone TreeAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sumit M. Sitole is one of 258 ophthalmologists in Colorado

Ophthalmology is Dr. Sitole's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Sitole is licensed in Maryland.

Specialties and state licenses

  • Ophthalmology, MarylandPrimaryLicense D67988 · taxonomy 207W00000X

Ophthalmologists near Dr. Sitole

Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Sumit M. Sitole billed Medicare for 579 services in 2024

CMS data shows 579 Medicare services from Dr. Sitole across 7 procedure codes in 2024, for 191 Medicare patients. Medicare paid $79,390 for them.

Medicare services, 2024579
Medicare patients191
Paid by Medicare$79,390
Procedure codes7

Dr. Sitole's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 2772024: 2519%
Office and hospital visits
2023: 2532024: 21216%
Surgery
2023: 2362024: 11651%

Where Dr. Sitole's Medicare services took place, 2024

  • In an office53592%
  • In a facility448%

Dr. Sitole compared with the Colorado median for ophthalmologists, 2024

  • Dr. Sitole
  • Colorado median
Medicare services
579vs 1,22953% below
Medicare patients
191vs 53864% below
Part D claims
588vs 46626% above

Medians across 266 ophthalmologists in Colorado with Dmand AI profiles that report each measure.

Dr. Sitole's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Sitole

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Sitole and other ophthalmologists in Colorado.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Sumit M. Sitole treated 191 Medicare patients in 2024, average age 75

CMS counts 191 Medicare patients who saw Dr. Sitole in 2024. The largest group is 65 to 74, with 99 patients. 75% of them have high cholesterol, and 60% have high blood pressure. Their average risk score is 0.94, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Sitole's median patient age at 71, with 61% women.

Medicare patients, 2024191
Average age75
Average risk score0.94

Dr. Sitole's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Sitole's Medicare patients by sex, 2024

  • Women11962%
  • Men7238%

Chronic conditions among Dr. Sitole's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure60%
  3. Arthritis53%
  4. Mood disorders25%
  5. Diabetes22%
  6. Depression21%
  7. Ischemic heart disease20%
  8. Osteoporosis19%

Share of Medicare patients with each condition. A patient can have several.

Dr. Sitole's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 71

Patient panel by sex, all payers

  • Women61%
  • Men38%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Sumit M. Sitole wrote 623 Medicare Part D claims in 2024

In 2024, Dr. Sitole wrote 623 Medicare Part D claims for 254 patients. 60% of them were for generic drugs. CMS names the drug for 588 of them, across 7 drugs with 11 or more claims each, at $17,694 in total drug cost. In 2023, CMS named 694 claims across 8 drugs.

Part D claims, 2024623
Drugs named by CMS7
Total drug cost$17,694
Part D patients254

Dr. Sitole's Part D claims by kind of drug, 2024

  • Generic371 claims60%
  • Brand-name252 claims40%

Dr. Sitole's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Sitole's Part D claims, 2024

  • Antibiotics12%75 of 623 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 6942024: 58815%

Drugs named by CMS: 7 in 2024, 8 in 2023.

See all prescribing by Dr. Sitole

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Sumit M. Sitole scored 83 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 83 out of 100 for Dr. Sitole for performance year 2024, reported individually. Dr. Sitole accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 44 procedures of melanoma (skin cancer) excision by Dr. Sitole, more than 85% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Sitole's MIPS scores, performance year 2024

  • 83of 100Final score
  • 65.1of 100Quality
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Sitole ranks in Medicare procedure volume

Melanoma (skin cancer) excision
85th percentile44 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Sumit M. Sitole received $808 in industry payments from 2016 to 2024

CMS Open Payments shows 22 general payments to Dr. Sitole from 10 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 100% of the total. Horizon Pharma plc paid the most, $312.

General payments to Dr. Sitole by program year, 2016 to 2024

Companies that paid Dr. Sitole the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Sitole

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Sumit M. Sitole graduated from Tufts University School of Medicine

Dr. Sitole graduated from Tufts University School of Medicine in 2004.

  1. Medical schoolTufts University School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Sumit M. Sitole's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Sumit M. Sitole

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Sumit M. Sitole's NPI number?

Dr. Sumit M. Sitole's NPI number is 1205088507. It was assigned on October 17, 2008, and it is active in the NPI Registry.

What kind of doctor is Dr. Sumit M. Sitole?

Dr. Sumit M. Sitole is an ophthalmologist in Lone Tree, Colorado. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).

Where does Dr. Sumit M. Sitole practice?

Dr. Sitole practices at 9777 S Yosemite St, Lone Tree, CO 80124. Dr. Sitole's primary practice is InSight Surgery Center - Lone Tree in Lone Tree, Colorado. Dmand AI also links Dr. Sitole to 1 group practice or clinic and 1 medical group.

What is Dr. Sumit M. Sitole's office phone number?

The practice phone on file for Dr. Sitole is (303) 708-2943.

What is Dr. Sumit M. Sitole's medical license number?

Dr. Sitole holds Maryland license D67988.

Does Dr. Sumit M. Sitole accept Medicare?

Yes. CMS data shows Dr. Sitole billed Medicare for 579 services in 2024, and Dr. Sitole accepts Medicare assignment.

What is Dr. Sumit M. Sitole's MIPS score?

Dr. Sitole's MIPS final score for performance year 2024 is 83 out of 100, reported individually.

How many Medicare patients does Dr. Sumit M. Sitole see?

CMS counts 191 Medicare patients who saw Dr. Sitole in 2024, with an average age of 75.

What services does Dr. Sumit M. Sitole bill to Medicare?

In 2024, Dr. Sitole's most billed Medicare services were eye exam or test (92285), office visit, new patient (99203) and eye exam or test (92083).

Where did Dr. Sumit M. Sitole go to medical school?

Dr. Sitole graduated from Tufts University School of Medicine in 2004.

Show 3 more questionsShow fewer questions

What drugs does Dr. Sumit M. Sitole prescribe most?

In 2024 Medicare Part D data, Dr. Sitole's most prescribed drugs by claims were Neomycin-Polymyxin-Dexameth, Tobramycin-Dexamethasone and Prednisone.

Has Dr. Sumit M. Sitole received payments from drug or device companies?

CMS Open Payments shows $808 in general payments to Dr. Sitole from 10 companies from 2016 to 2024. The largest total came from Horizon Pharma plc.

How long has Dr. Sumit M. Sitole been practicing?

Dr. Sitole graduated from medical school in 2004, 22 years ago.

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