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DR. KARTHIK SUGUMARAN D.O.
NPI 1831547660
Surgery in Largo, FL

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
1258 W BAY DR STE D, LARGO, FL 33770(727) 586-3751(727) 587-9340 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karthik Sugumaran D.o. NPPES

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

DR. KARTHIK SUGUMARAN D.O. (NPI 1831547660) is an individual surgery provider in Largo, Florida, licensed in Florida (OS15444) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831547660
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KARTHIK SUGUMARANCredential: D.O.
Location Address1258 W BAY DR STE DLargo, FL 33770-2277
Mailing Address1258 W Bay Dr Ste DLargo, FL 33770-2277 · (727) 586-3751 · Fax (727) 587-9340
Phone(727) 586-3751
Fax(727) 587-9340
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 2, 2016
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1831547660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · OS15444
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.
1258 W BAY DR STE D, Largo, FL 33770
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Secondary Practice Locations 2

Location 12102 Trinity Oaks Blvd Ste 201Trinity, FL 34655-4409 · Phone (727) 586-3751 · Fax (727) 587-9340
Location 23253 N McMullen Booth Rd Ste 200DClearwater, FL 33761-2043 · Phone (727) 586-3751 · Fax (727) 587-9340

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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. Karthik Sugumaran D.o. 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 ID143551242
PECOS Enrollment IDI20230829001336
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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
152 services92 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.
124 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services42 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.
20 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services12 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100043
Location601 Main StDunedin, FL 34698 · Pinellas County
Emergency services

Morton Plant North Bay Hospital

Acute Care Hospitals · New Port Richey, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100063
Location6600 Madison StNew Port Richey, FL 34652 · Pasco County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Hca Florida Largo Hospital

Acute Care Hospitals · Largo, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100248
Location201 14th St SWLargo, FL 33770 · Pinellas County
Emergency services

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33770 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.96
Promoting Interoperability90
Improvement Activities40
Cost54.47

Other Providers at the Same Location NPPES 4

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

JESUS DIAZ VERA
Internal Medicine (Infectious Disease)
1258 W BAY DR STE D
LARGO, FL 33770
Pinellas County (727) 420-6374
RICHARD SHAWN GORDON M.D.
Surgery
1258 W BAY DR STE D
LARGO, FL 33770
Pinellas County (727) 586-3751
RACHEL IRBY M.D.
Internal Medicine (Infectious Disease)
1258 W BAY DR STE D
LARGO, FL 33770
Pinellas County (727) 420-6374
KATE MICHELE LAUER APRN
Nurse Practitioner (Acute Care)
1258 W BAY DR STE D
LARGO, FL 33770
Pinellas County (727) 420-6374

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 Karthik Sugumaran's NPI number?

The NPI number for Karthik Sugumaran is 1831547660. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Karthik Sugumaran located?

Karthik Sugumaran practices at 1258 W Bay Dr Ste D, Largo, FL 33770. The listed phone number is (727) 586-3751.

What is Karthik Sugumaran's specialty?

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

Is Karthik Sugumaran enrolled in Medicare?

Yes. Karthik Sugumaran 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 Karthik Sugumaran accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Molina Healthcare and 1 other insurer list Karthik Sugumaran 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.

Is Karthik Sugumaran affiliated with any hospitals?

According to CMS data, Karthik Sugumaran is affiliated with Mease Dunedin Hospital, Morton Plant North Bay Hospital, Morton Plant Hospital, Hca Florida Largo Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Karthik Sugumaran was last updated on May 9, 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.