DANA SUGAR M.D.
NPI 1730610023
Psychiatry & Neurology - Neurology in Albuquerque, NM

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
DEPT OF NEUROLOGY 1 UNIVERSITY OF NEW MEXICO MSC10 5620, ALBUQUERQUE, NM 87131(505) 272-2111 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Jun 22, 2023, Jun 15, 2023 and 3 more (6 updates tracked since 2017).

About Dana Sugar M.d. NPPES

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

DANA SUGAR M.D. (NPI 1730610023) is an individual neurology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2023-1114) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Wayne State University School Of Medicine (2017).

NPPES Registry Identity

NPI1730610023
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDANA SUGARCredential: M.D.
Location AddressDEPT OF NEUROLOGY 1 UNIVERSITY OF NEW MEXICO MSC10 5620Albuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateOctober 25, 20246 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
NPI 1730610023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in NM · MD2023-1114 Licensed in IL · 036.156925 Licensed in MI · 13287217 Licensed in UT · 10964110-1205
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
DEPT OF NEUROLOGY 1 UNIVERSITY OF NEW MEXICO MSC10 5620, Albuquerque, NM 87131

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

Dana 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 ID6002160116
PECOS Enrollment IDI20231010000539
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 2

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.
114 services66 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.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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 Dana Sugar's NPI number?

The NPI number for Dana Sugar is 1730610023. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Dana Sugar located?

Dana Sugar practices at Dept Of Neurology 1 University Of New Mexico Msc10 5620, Albuquerque, NM 87131. The listed phone number is (505) 272-2111.

What is Dana Sugar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Dana Sugar enrolled in Medicare?

Yes. Dana Sugar 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.

Is Dana Sugar affiliated with any hospitals?

According to CMS data, Dana Sugar is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Dana Sugar was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.