DR. JEFFREY LOUIS SUGARMAN M.D., PH.D.
NPI 1548255482
Dermatology in Santa Rosa, CA

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2725 MENDOCINO AVE, SANTA ROSA, CA 95403(707) 545-4537(707) 545-6726 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey Louis Sugarman M.d., Ph.d. NPPES

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

DR. JEFFREY LOUIS SUGARMAN M.D., PH.D. (NPI 1548255482) is an individual dermatology provider in Santa Rosa, California, licensed in California (G85304) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1996).

NPPES Registry Identity

NPI1548255482
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JEFFREY LOUIS SUGARMANCredential: M.D., PH.D.
Location Address2725 MENDOCINO AVESanta Rosa, CA 95403-2805
Mailing Address3536 Mendocino Ave, Ste 200Santa Rosa, CA 95403-3634 · (707) 525-6485 · Fax (707) 573-6918
Fax(707) 545-6726
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1996
Enumeration DateSeptember 16, 2005
Last NPPES UpdateMarch 28, 2017
NPI 1548255482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G85304
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License G85304 (CA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License G85304 (CA)
2725 MENDOCINO AVE, Santa Rosa, CA 95403

Other Identifiers 6

Medicaid1548255482CA
Medicare PINCA230651CA
Medicare UPINH01720CA
OtherP01774457CA · Railroad Medicare
Medicaid00G853040CA
Medicare PINCA232497CA

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. Jeffrey Louis Sugarman M.d., Ph.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 ID4981697588
PECOS Enrollment IDI20040412000561
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 22

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
10,452 services3,003 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
696 services112 patients
Treatment of inflammatory skin disease using laser, less than 250.0 sq cm 96920
This treatment involves using laser technology to target and reduce inflammation in skin diseases. It's suitable for treating areas less than 250.0 sq cm. The laser light helps to minimize inflammation, promoting healing in the affected area.
243 services19 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.
220 services173 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
214 services115 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
206 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Dermatology
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Dermatology
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Physician Assistant (Medical)
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Physician Assistant
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Physician Assistant
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Dermatology
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Clinical Medical Laboratory
2725 MENDOCINO AVE
SANTA ROSA, CA 95403
Dermatology (MOHS-Micrographic Surgery)
2725 MENDOCINO AVE
SANTA ROSA, CA 95403

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 Jeffrey Sugarman's NPI number?

The NPI number for Jeffrey Sugarman is 1548255482. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Jeffrey Sugarman located?

Jeffrey Sugarman practices at 2725 Mendocino Ave, Santa Rosa, CA 95403. The listed phone number is (707) 545-4537.

What is Jeffrey Sugarman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeffrey Sugarman enrolled in Medicare?

Yes. Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Sugarman was last updated on March 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.