DR. GAINOSUKE SUGIYAMA MD
NPI 1811176332
Surgery in Brooklyn, NY

Active since November 01, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-1421 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gainosuke Sugiyama Md NPPES

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

DR. GAINOSUKE SUGIYAMA MD (NPI 1811176332) is an individual surgery provider in Brooklyn, New York, licensed in New York (247564) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2005).

NPPES Registry Identity

NPI1811176332
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GAINOSUKE SUGIYAMACredential: MD
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address450 Clarkson AveBrooklyn, NY 11203-2012 · (718) 270-1421
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2005
Enumeration DateNovember 1, 2007
Last NPPES UpdateOctober 8, 2010
NPI 1811176332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 247564
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
450 CLARKSON AVE, Brooklyn, NY 11203

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. Gainosuke Sugiyama 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 ID2668660440
PECOS Enrollment IDI20101221000229
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Gainosuke Sugiyama's NPI number?

The NPI number for Gainosuke Sugiyama is 1811176332. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Gainosuke Sugiyama located?

Gainosuke Sugiyama practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-1421.

What is Gainosuke Sugiyama's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gainosuke Sugiyama enrolled in Medicare?

Yes. Gainosuke Sugiyama 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 Gainosuke Sugiyama affiliated with any hospitals?

According to CMS data, Gainosuke Sugiyama is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Gainosuke Sugiyama was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.