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Dr. Matthew Sugimoto, MD
NPI1750744306PAC ID0648563064
- Medicare services, 2024
- 921
- Medicare patients, 2024
- 310
- Part D claims, 2024
- 486
- Publications
- 5
- MIPS score, 2024
- 93
- Practice address
- 1 Medical Village Drive, Edgewood, KY 41017
- Practice phone
- Call (859) 301-2000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Sugimoto's professional email, personal email and mobile number
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Dr. Matthew Sugimoto is a hospitalist in Edgewood, Kentucky
Dr. Sugimoto practices at St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky, part of Diocese of Covington.
Dr. Sugimoto's NPI, 1750744306, was assigned on March 31, 2016. Dr. Sugimoto graduated from Creighton University School of Medicine in 2016. Dr. Sugimoto holds Kentucky license 52362.
NPI and contact details
- NPI
- 1750744306NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0648563064
- NPI enumeration date
- March 31, 2016
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (859) 301-2000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 36
- Medical school graduation
- 2016
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Matthew Sugimoto practices at St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky
Dr. Sugimoto's primary practice is St. Elizabeth Healthcare Edgewood Hospital, at 1 Medical Village Drive, Edgewood, KY 41017 in Kenton County. The practice phone is (859) 301-2000.
- St. Elizabeth Healthcare Edgewood Hospital1 Medical Village Drive, Edgewood, KY 41017 · Kenton CountyPhone(859) 301-2000
Source: Dmand AI Affiliation Data
Dr. Matthew Sugimoto is affiliated with 2 sites of care and 1 medical group
Dr. Sugimoto's primary practice is St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky, part of Diocese of Covington. Dr. Sugimoto is also affiliated with St. Elizabeth Healthcare Florence Hospital. The medical group on file is St. Elizabeth Physicians.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Matthew Sugimoto's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Sugimoto practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| St. Elizabeth Healthcare Edgewood Hospital | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
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Dr. Matthew Sugimoto is one of 303 hospitalists in Kentucky
Hospitalist is Dr. Sugimoto's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. Sugimoto is licensed in Kentucky.
Specialties and state licenses
- Hospitalist, KentuckyPrimary
Hospitalists near Dr. Sugimoto
Counts of hospitalists with a Dmand AI profile, by place and practice. Each opens the list.
303hospitalists in Kentucky41hospitalists in Edgewood41hospitalists at St. Elizabeth Healthcare Edgewood Hospital
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Matthew Sugimoto billed Medicare for 921 services in 2024
CMS data shows 921 Medicare services from Dr. Sugimoto across 7 procedure codes in 2024, for 310 Medicare patients. Medicare paid $74,346 for them. Every service was in a facility, such as a hospital, rather than an office.
Medicare services, 2024921
Medicare patients310
Paid by Medicare$74,346
Procedure codes7
Dr. Sugimoto's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1,0042024: 9218%
Dr. Sugimoto compared with the Kentucky median for hospitalists, 2024
- Dr. Sugimoto
- Kentucky median
- Medicare services
- 921vs 4062.3 times
- Medicare patients
- 310vs 20452% above
- Part D claims
- 252vs 663.8 times
Medians across 286 hospitalists in Kentucky with Dmand AI profiles that report each measure.
Dr. Sugimoto'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.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Sugimoto and other hospitalists in Kentucky.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Matthew Sugimoto treated 310 Medicare patients in 2024, average age 76
CMS counts 310 Medicare patients who saw Dr. Sugimoto in 2024. The largest group is 75 to 84, with 110 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 18% are also on Medicaid. Their average risk score is 2.57, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Sugimoto's median patient age at 72, with 54% women.
Medicare patients, 2024310
Average age76
Average risk score2.57
Also on Medicaid18%
Dr. Sugimoto's Medicare patients by age, 2024
Dr. Sugimoto's Medicare patients by sex, 2024
- Women16553%
- Men14547%
Chronic conditions among Dr. Sugimoto's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis65%
- Ischemic heart disease59%
- Chronic kidney disease55%
- Heart failure55%
- Diabetes48%
- Mood disorders47%
Share of Medicare patients with each condition. A patient can have several.
Dr. Sugimoto's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 72
Patient panel by sex, all payers
- Women54%
- Men46%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Matthew Sugimoto wrote 486 Medicare Part D claims in 2024
In 2024, Dr. Sugimoto wrote 486 Medicare Part D claims for 216 patients. 93% of them were for generic drugs. CMS names the drug for 252 of them, across 14 drugs with 11 or more claims each, at $1,321 in total drug cost. In 2023, CMS named 222 claims across 13 drugs.
Part D claims, 2024486
Drugs named by CMS14
Total drug cost$1,321
Part D patients216
Dr. Sugimoto's Part D claims by kind of drug, 2024
- Generic450 claims93%
- Brand-name and other36 claims7%
Dr. Sugimoto'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. Sugimoto's Part D claims, 2024
- Opioids7%34 of 486 claims
- Antibiotics18%89 of 486 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: 2222024: 25214%
Drugs named by CMS: 14 in 2024, 13 in 2023.
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. Matthew Sugimoto scored 93 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 93 out of 100 for Dr. Sugimoto for performance year 2024, reported through an alternative payment model (APM). Dr. Sugimoto accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Sugimoto's MIPS scores, performance year 2024
- 93of 100Final score
- 86of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Matthew Sugimoto has 5 publications on record
Dmand AI links 5 papers to Dr. Sugimoto, published from 2011 to 2014. 2014 was the busiest year, with 3. The most frequent topics are Biocompatible Materials, Alkaline Phosphatase and Citrates. Dr. Sugimoto's most frequent co-authors are Jason L. Koh, MD and Francis J. Alenghat.
Papers5
Years published2011 to 2014
Topics Dr. Sugimoto writes about most
- Biocompatible Materials
- Alkaline Phosphatase
- Citrates
- Durapatite
- Mesenchymal Stem Cells
- Micelles
- Polymers
- Porosity
Dr. Sugimoto's most frequent co-authors
Recent publications by Dr. Sugimoto
Nanomedicine
Biocompatible MaterialsCarbocyaninesErythrocytes
Adv Healthc Mater
Amino Acid SequenceApolipoproteins EAtherosclerosis
Tissue Eng Part C Methods
Alkaline PhosphataseBiocompatible MaterialsCell Adhesion
Absorbable ImplantsAlkaline PhosphataseBone Substitutes
See who Dr. Sugimoto researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Sugimoto works with, so you can find a warm path to the right hospitalists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Matthew Sugimoto received $22 in industry payments in 2024
CMS Open Payments shows 1 general payment to Dr. Sugimoto from 1 drug or device company in 2024. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $22.
Companies that paid Dr. Sugimoto the most, 2024 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Matthew Sugimoto graduated from Creighton University School of Medicine
Dr. Sugimoto graduated from Creighton University School of Medicine in 2016.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Matthew Sugimoto's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Matthew Sugimoto
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. Matthew Sugimoto's NPI number?
Dr. Matthew Sugimoto's NPI number is 1750744306. It was assigned on March 31, 2016, and it is active in the NPI Registry.
What kind of doctor is Dr. Matthew Sugimoto?
Dr. Matthew Sugimoto is a hospitalist in Edgewood, Kentucky. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).
Where does Dr. Matthew Sugimoto practice?
Dr. Sugimoto practices at 1 Medical Village Drive, Edgewood, KY 41017. Dr. Sugimoto's primary practice is St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky, part of Diocese of Covington.
What is Dr. Matthew Sugimoto's office phone number?
The practice phone on file for Dr. Sugimoto is (859) 301-2000.
What is Dr. Matthew Sugimoto's medical license number?
Dr. Sugimoto holds Kentucky license 52362.
Which hospitals is Dr. Matthew Sugimoto affiliated with?
Dr. Sugimoto practices at St. Elizabeth Healthcare Edgewood Hospital in Edgewood, Kentucky. Dr. Sugimoto is also affiliated with St. Elizabeth Healthcare Florence Hospital.
What medical group is Dr. Matthew Sugimoto part of?
Dr. Sugimoto is linked to St. Elizabeth Physicians.
Does Dr. Matthew Sugimoto accept Medicare?
Yes. CMS data shows Dr. Sugimoto billed Medicare for 921 services in 2024, and Dr. Sugimoto accepts Medicare assignment.
What is Dr. Matthew Sugimoto's MIPS score?
Dr. Sugimoto's MIPS final score for performance year 2024 is 93 out of 100, reported through an alternative payment model (APM).
How many Medicare patients does Dr. Matthew Sugimoto see?
CMS counts 310 Medicare patients who saw Dr. Sugimoto in 2024, with an average age of 76.
Show 7 more questionsShow fewer questions
What services does Dr. Matthew Sugimoto bill to Medicare?
In 2024, Dr. Sugimoto's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99233) and hospital inpatient care (99223).
Where did Dr. Matthew Sugimoto go to medical school?
Dr. Sugimoto graduated from Creighton University School of Medicine in 2016.
What drugs does Dr. Matthew Sugimoto prescribe most?
In 2024 Medicare Part D data, Dr. Sugimoto's most prescribed drugs by claims were Prednisone, Cefdinir and Oxycodone HCl.
Has Dr. Matthew Sugimoto received payments from drug or device companies?
CMS Open Payments shows $22 in general payments to Dr. Sugimoto from 1 company from 2024 to 2024. The largest total came from Janssen Pharmaceuticals, Inc.
How long has Dr. Matthew Sugimoto been practicing?
Dr. Sugimoto graduated from medical school in 2016, 10 years ago.
Does Dr. Matthew Sugimoto do research?
Dmand AI links 5 publications to Dr. Sugimoto, published from 2011 to 2014.
Who does Dr. Matthew Sugimoto publish with?
Dr. Sugimoto's most frequent co-authors are Jason L. Koh, MD (2 shared papers) and Francis J. Alenghat (1 shared paper).
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