Dr. Michael P. Sumida, MD

  • Athens, TN
  • General surgeon
NPI1609835115PAC ID8527183516
Medicare services, 2024
376
Medicare patients, 2024
188
Part D claims, 2024
171
Hospital affiliations
1
Industry payments
$381
Practice address
719 Cook Dr Suite 109 Suite 109, Athens, TN 37303-3495
Practice phone
Call (423) 745-2344
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Advancedhealth

Surgical practice · Athens, Tennessee

See all 5 affiliations

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Dr. Michael P. Sumida is a general surgeon in Athens, Tennessee

Dr. Sumida practices at Advancedhealth in Athens, Tennessee.

Dr. Sumida's NPI, 1609835115, was assigned on March 22, 2006. Dr. Sumida graduated from University of Kentucky College of Medicine in 1994. Dr. Sumida holds Tennessee license MD27304.

NPI and contact details
Medicare PAC ID
8527183516
NPI enumeration date
March 22, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(423) 745-2344
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
58
Medical school graduation
1994

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

Dr. Michael P. Sumida practices at Advancedhealth in Athens, Tennessee

Dr. Sumida's primary practice is Advancedhealth, at 719 Cook Dr Suite 109 Suite 109, Athens, TN 37303-3495. The practice phone is (423) 745-2344.

  • Advancedhealth
    719 Cook Dr Suite 109 Suite 109, Athens, TN 37303-3495Phone(423) 745-2344

Source: Dmand AI Affiliation Data

Dr. Michael P. Sumida is affiliated with 3 sites of care and 2 medical groups

Dr. Sumida's primary practice is Advancedhealth in Athens, Tennessee. Dr. Sumida is also affiliated with Starr Regional Medical Center. The medical group on file is Advanced Diagnostic Imaging. Dmand AI also links Dr. Sumida to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 5 affiliations for Dr. Sumida

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Michael P. Sumida's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Sumida practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
AdvancedhealthAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Michael P. Sumida is one of 548 general surgeons in Tennessee

Surgery is Dr. Sumida's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Sumida is licensed in Tennessee.

Specialties and state licenses

  • Surgery, TennesseePrimaryLicense MD27304 · taxonomy 208600000X

General surgeons near Dr. Sumida

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

548general surgeons in Tennessee
5general surgeons in Athens

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

Dr. Michael P. Sumida billed Medicare for 376 services in 2024

CMS data shows 376 Medicare services from Dr. Sumida across 8 procedure codes in 2024, for 188 Medicare patients. Medicare paid $36,311 for them.

Medicare services, 2024376
Medicare patients188
Paid by Medicare$36,311
Procedure codes8

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

  • 2023
  • 2024
Office and hospital visits
2023: 2872024: 25910%
Surgery
2023: 1172024: 9321%
Other services
2023: 02024: 24

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

  • In an office25969%
  • In a facility11731%

Dr. Sumida compared with the Tennessee median for general surgeons, 2024

  • Dr. Sumida
  • Tennessee median
Medicare services
376vs 1742.2 times
Medicare patients
188vs 12254% above
Part D claims
128vs 522.5 times

Medians across 548 general surgeons in Tennessee with Dmand AI profiles that report each measure.

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

Dr. Michael P. Sumida treated 188 Medicare patients in 2024, average age 74

CMS counts 188 Medicare patients who saw Dr. Sumida in 2024. The largest group is 65 to 74, with 87 patients. 75% of them have high blood pressure, and 69% have high cholesterol. 11% are also on Medicaid. Their average risk score is 1.10, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Sumida's median patient age at 63, with 51% women.

Medicare patients, 2024188
Average age74
Average risk score1.10
Also on Medicaid11%

Dr. Sumida's Medicare patients by age, 2024

Dr. Sumida's Medicare patients by sex, 2024

  • Women8545%
  • Men10355%

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

  1. High blood pressure75%
  2. High cholesterol69%
  3. Arthritis43%
  4. Anxiety31%
  5. Diabetes29%
  6. Ischemic heart disease28%
  7. Chronic kidney disease24%
  8. Mood disorders23%

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

Dr. Sumida's patients across all payers

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

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women51%
  • Men48%

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

Dr. Michael P. Sumida wrote 171 Medicare Part D claims in 2024

In 2024, Dr. Sumida wrote 171 Medicare Part D claims for 95 patients. 96% of them were for generic drugs. CMS names the drug for 128 of them, across 5 drugs with 11 or more claims each, at $880 in total drug cost. In 2023, CMS named 124 claims across 4 drugs.

Part D claims, 2024171
Drugs named by CMS5
Total drug cost$880
Part D patients95

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

  • Generic165 claims96%
  • Brand-name and other6 claims4%

Dr. Sumida'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. Sumida's Part D claims, 2024

  • Opioids20%35 of 171 claims
  • Antibiotics20%35 of 171 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: 1242024: 1283%

Drugs named by CMS: 5 in 2024, 4 in 2023.

See all prescribing by Dr. Sumida

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. Michael P. Sumida ranks in the 75th percentile for colonoscopy in Medicare

Dr. Sumida accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 81 procedures of colonoscopy by Dr. Sumida, more than 75% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Where Dr. Sumida ranks in Medicare procedure volume

Colonoscopy
75th percentile81 procedures
Upper gastrointestinal (GI) endoscopy for acid reflux
60th percentile40 procedures

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

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Michael P. Sumida received $381 in industry payments from 2016 to 2025

CMS Open Payments shows 20 general payments to Dr. Sumida from 15 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 82% of the total. AstraZeneca Pharmaceuticals LP paid the most, $68.

General payments to Dr. Sumida by program year, 2016 to 2025

General payments to Dr. Sumida by kind, 2016 to 2025

$381in total
  • Food and beverage$31382%
  • Education$6818%

Companies that paid Dr. Sumida the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Sumida

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

Dr. Michael P. Sumida graduated from University of Kentucky College of Medicine

Dr. Sumida graduated from University of Kentucky College of Medicine in 1994.

  1. Medical schoolUniversity of Kentucky College of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Michael P. Sumida'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 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)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. Michael P. Sumida

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. Michael P. Sumida's NPI number?

Dr. Michael P. Sumida's NPI number is 1609835115. It was assigned on March 22, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Michael P. Sumida?

Dr. Michael P. Sumida is a general surgeon in Athens, Tennessee. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).

Where does Dr. Michael P. Sumida practice?

Dr. Sumida practices at 719 Cook Dr Suite 109 Suite 109, Athens, TN 37303-3495. Dr. Sumida's primary practice is Advancedhealth in Athens, Tennessee. Dmand AI also links Dr. Sumida to 1 group practice or clinic and 1 medical group.

What is Dr. Michael P. Sumida's office phone number?

The practice phone on file for Dr. Sumida is (423) 745-2344.

What is Dr. Michael P. Sumida's medical license number?

Dr. Sumida holds Tennessee license MD27304.

Which hospitals is Dr. Michael P. Sumida affiliated with?

Dr. Sumida is affiliated with Starr Regional Medical Center.

What medical group is Dr. Michael P. Sumida part of?

Dr. Sumida is linked to Advanced Diagnostic Imaging. Dmand AI links Dr. Sumida to 1 more medical group.

Does Dr. Michael P. Sumida accept Medicare?

Yes. CMS data shows Dr. Sumida billed Medicare for 376 services in 2024, and Dr. Sumida accepts Medicare assignment.

How many Medicare patients does Dr. Michael P. Sumida see?

CMS counts 188 Medicare patients who saw Dr. Sumida in 2024, with an average age of 74.

What services does Dr. Michael P. Sumida bill to Medicare?

In 2024, Dr. Sumida's most billed Medicare services were office visit, new patient (99204), office visit, established patient (99213) and surgery: digestive system (43239).

Show 4 more questionsShow fewer questions

Where did Dr. Michael P. Sumida go to medical school?

Dr. Sumida graduated from University of Kentucky College of Medicine in 1994.

What drugs does Dr. Michael P. Sumida prescribe most?

In 2024 Medicare Part D data, Dr. Sumida's most prescribed drugs by claims were Famotidine, Oxycodone-Acetaminophen and Pantoprazole Sodium.

Has Dr. Michael P. Sumida received payments from drug or device companies?

CMS Open Payments shows $381 in general payments to Dr. Sumida from 15 companies from 2016 to 2025. The largest total came from AstraZeneca Pharmaceuticals LP.

How long has Dr. Michael P. Sumida been practicing?

Dr. Sumida graduated from medical school in 1994, 32 years ago.

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