THOMAS J SUGARMAN M.D
NPI 1609895903
Emergency Medicine in Antioch, CA

Q: What is Thomas Sugarman's NPI number?

The NPI number for Thomas Sugarman is 1609895903. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Thomas Sugarman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sugarman was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 18, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3901 LONE TREE WAY, ANTIOCH, CA 94509(925) 779-7273 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Nov 17, 2023, Aug 7, 2023 and 1 more (4 updates tracked since 2022).

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About Thomas J Sugarman M.d NPPES

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

THOMAS J SUGARMAN M.D (NPI 1609895903) is an individual emergency medicine provider in Antioch, California, licensed in Illinois (036084355) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Clay, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1609895903

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTHOMAS J SUGARMANCredential: M.D

Location Address3901 LONE TREE WAYAntioch, CA 94509-6200

Mailing Address2100 Powell St, Ste 920Emeryville, CA 94608-1826 · (510) 350-2600 · Fax (510) 879-9100

Phone(925) 779-7273

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJuly 18, 2006

Last NPPES UpdateJune 18, 20244 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1609895903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036084355✔ Licensed in WI · 82516-20✔ Licensed in IN · 01088223A✔ Licensed in CA · G70552

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3901 LONE TREE WAY, Antioch, CA 94509

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Other Identifiers 1

Medicaid00G705520CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Thomas J Sugarman 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 ID1850311788

PECOS Enrollment IDI20051206000932, I20090305000160, I20230907002522

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

34 services34 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

25 services23 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Clay

Critical Access Hospitals · Brazil, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151309

Location1206 E National AveBrazil, IN 47834 · Clay County

Emergency services

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520044

Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

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

Quality

100

Improvement Activities

Cost

94.69

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.

DR. DUNG THINGOC NGUYEN PHARM. D.

Pharmacist