MR. MARK STEVEN SUGAR M.D.
NPI 1013959253
Allergy & Immunology - Allergy in Laguna Niguel, CA

Q: What is Mark Sugar's NPI number?

The NPI number for Mark Sugar is 1013959253. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Mark Sugar's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Q: When was this NPI record last updated?

The NPPES record for Mark Sugar was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

80.32/100

CMS Quality Rating

28202 CABOT RD STE 105, LAGUNA NIGUEL, CA 92677(949) 364-2900(949) 365-0117 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2025, Dec 17, 2024 (2 updates tracked since 2024).

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About Mr. Mark Steven Sugar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK STEVEN SUGAR M.D. (NPI 1013959253) is an individual allergy provider in Laguna Niguel, California, licensed in California (C032628) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Irvine, and is a graduate of University Of Maryland School Of Medicine (1969).

NPPES Registry Identity

NPI1013959253

Entity TypeIndividualMale

Primary Taxonomy207KA0200X

Provider Legal NameMR. MARK STEVEN SUGARCredential: M.D.

Location Address28202 CABOT RD STE 105Laguna Niguel, CA 92677-1247

Mailing Address28202 Cabot Rd Ste 105Laguna Niguel, CA 92677-1247 · (949) 364-2900 · Fax (949) 365-0117

Phone(949) 364-2900

Fax(949) 365-0117

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1969

Enumeration DateJune 12, 2006

Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1013959253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians

Taxonomy Code207KA0200X

License✔ Licensed in CA · C032628

Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

28202 CABOT RD STE 105, Laguna Niguel, CA 92677

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Secondary Practice Location 1

Location 115785 Laguna Canyon Rd Ste 100Irvine, CA 92618-3166 · Phone (949) 364-2900 · Fax (949) 365-0117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Steven Sugar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800887993

PECOS Enrollment IDI20040518001617

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

503 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

157 services90 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

77 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services14 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

16 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

34.42

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

98%1,592 patients4/55-star benchmark: 100%

Optimal Asthma Control

Composite measure of the percentage of pediatric and adult patients whose asthma is well-controlled as demonstrated by one of three age appropriate patient reported outcome tools and not at risk for exacerbation

Patients 18-50: 41% · 133 patients

Patients 5-17: 40% · 131 patients

Patients ACT18-50: 41% · 133 patients

Patients ACT5-17: 40% · 131 patients

Patients lowRisk18-50: 100% · 133 patients

41%264 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier12 claims48 services$18.28 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier11 claims2,920 services$9.51 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

1 supplier12 claims58 services$2.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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