DR. MICHAEL GARY SUGARMAN MD
NPI 1225027956
Specialist in Newark, DE

Q: What is Michael Sugarman's NPI number?

The NPI number for Michael Sugarman is 1225027956. It was assigned to this individual provider in the NPPES registry on October 15, 2005.

Q: What is Michael Sugarman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sugarman was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2005PECOS EnrolledAccepts Medicare Assignment

62.8/100

CMS Quality Rating

774 CHRISTIANA RD, SUITE 202, NEWARK, DE 19713(302) 366-7671(302) 366-7649 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Michael Gary Sugarman Md NPPES

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

DR. MICHAEL GARY SUGARMAN MD (NPI 1225027956) is an individual specialist in Newark, Delaware, licensed in Delaware (C1-0002708) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1984).

NPPES Registry Identity

NPI1225027956

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MICHAEL GARY SUGARMANCredential: MD

Location Address774 CHRISTIANA RD, SUITE 202Newark, DE 19713-4236

Mailing Address774 Christiana Rd, Suite 202Newark, DE 19713-4236 · (302) 366-7671 · Fax (302) 366-7649

Phone(302) 366-7671

Fax(302) 366-7649

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1984

Enumeration DateOctober 15, 2005

Last NPPES UpdateDecember 3, 2013

✔ NPI 1225027956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in DE · C1-0002708

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

774 CHRISTIANA RD, Newark, DE 19713

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Other Identifiers 3

Medicare ID-Type Unspecified886947DE

Medicaid0000098001DE

Medicare UPINF23954DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

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

Dr. Michael Gary Sugarman Md 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 ID7416909346

PECOS Enrollment IDI20110207000449, I20140424001622

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 18

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

215 services157 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

187 services187 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

57 services21 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

46 services25 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

39 services38 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

33 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services33 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

27 services11 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

26 services24 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

22 services22 patients

Fusion of additional segment of spine with partial removal of spine bone and disc 22634

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

21 services13 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

21 services20 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

21 services15 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

16 services16 patients

Graft of donor bone to spine 20931

A graft of donor bone to the spine is a procedure where a piece of bone from a donor is attached to your spine to help it heal or improve its structure. This is often done to strengthen the spine or aid in recovery from injury or disease.

15 services15 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

15 services15 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

12 services12 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.

11 services11 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.

62.8/100

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

Individually scored

Quality

50.64

Promoting Interoperability

Improvement Activities

Cost

63.7

Reported Quality Measures

Advance Care Plan

43%415 patients2/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

97%58 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

89%1,192 patients2/55-star benchmark: 100%

Falls: Plan of Care

42%118 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

98%561 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 236 patients

Patients screened: 100% · 236 patients

49%35 patients2/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 99% · 216 patients

99%216 patients

Provide Patients Electronic Access to Their Health Information

42%223 patients1/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

35%204 patients1/55-star benchmark: 100%

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

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

1 supplier19 claims19 services$3,749.90 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 20

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

JONATHAN M RASER-SCHRAMM MD

Psychiatry & Neurology (Vascular Neurology)

774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713

New Castle County (302) 731-3017

MR. KYO A KIM M.D.

Specialist

774 CHRISTIANA RD, SUITE 101
NEWARK, DE 19713

New Castle County (302) 623-4004

NEUROLOGY ASSOCIATES, PA

Radiology (Diagnostic Radiology)

774 CHRISTIANA RD, SUITE 1
NEWARK, DE 19713

New Castle County (302) 731-3017

JOANNE GREENE AUD

Audiologist

774 CHRISTIANA RD, NEUROSCIENCE BLDG SUITE B4
NEWARK, DE 19713

New Castle County (302) 266-2449

PAUL T BOULOS MD

Neurological Surgery

774 CHRISTIANA RD, STE 202
NEWARK, DE 19713

New Castle County (302) 366-7671

NIKOLAY MINDADZE, MD,LLC

Surgery

774 CHRISTIANA RD
NEWARK, DE 19713

New Castle County (302) 366-7671

ENRICA ARNAUDO MD

Psychiatry & Neurology (Neurology)

774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713

New Castle County (302) 731-3017

ADVANCED EARS NOSE AND THROAT LLC

Otolaryngology

774 CHRISTIANA RD, SUITE 107
NEWARK, DE 19713

New Castle County (302) 709-0860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Sugarman's NPI number?

The NPI number for Michael Sugarman is 1225027956. It was assigned to this individual provider in the NPPES registry on October 15, 2005.

Where is Michael Sugarman located?

Michael Sugarman practices at 774 Christiana Rd Suite 202, Newark, DE 19713. The listed phone number is (302) 366-7671.

What is Michael Sugarman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Michael Sugarman enrolled in Medicare?

Yes. Michael Sugarman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Sugarman accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Michael Sugarman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Sugarman was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.