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Edit this profileAt a glance
- 719 Cook Dr, Ste 109, Athens, TN 37303
About Dr. Sumida
Michael P. Sumida, M.D. is a healthcare provider in Athens, TN specializing in surgery. Michael trained at University of Kentucky College of Medicine, graduating in 1994. Medicare claims data shows Michael provided 376 services to 363 patients. The services billed most often include new patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. This provider record is associated with NPI 1609835115.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (423) 745-2344
- Email not available
Practice Locations
719 COOK DR STE 109
Athens, TN 37303
Conditions Commonly Evaluated or Treated
Within Surgery (Unspecified) generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
- Appendicitis
- Breast cancer
- Gallstones
- Hernia
- Thyroid nodules
Breast conditions
- Benign breast disease
- Gynecomastia
Cancer
- Colon cancer
- Esophageal cancer
- Liver cancer
- Neuroendocrine Tumors
- Pancreatic cancer
- Soft-tissue sarcoma
- Stomach cancer
- Thyroid cancer
Colorectal
- Anal fissure
- Anal fistula
- Hemorrhoids
- Lower gastrointestinal bleeding
- Rectal prolapse
Digestive
- Abdominal adhesions
- Acid reflux
- Acute pancreatitis
- Bowel obstruction
- Colon polyps
- Diverticulitis
- Gastroparesis
- Peptic ulcer disease
Digestive & blood
- Enlarged spleen
Digestive health
- Crohn's disease
- Fecal incontinence
- Perforated bowel
- Severe chronic constipation
- Swallowing difficulties
- Ulcerative colitis
Endocrine
- Adrenal gland tumor
- Goiter
- Hyperparathyroidism
Infections
- Gangrene
- Skin and soft-tissue abscess
Lumps & bumps
Lymphatic
Minor surgery
- Ingrown toenail
Skin & scars
- Keloids and hypertrophic scars
Skin & soft tissue
- Epidermoid cyst
- Lipoma
- Pilonidal cyst
- Skin lump or bump
Skin cancer
- Moles and atypical moles
- Skin cancer
Vascular
- Carotid Artery Blockage
- Deep vein thrombosis
- Peripheral artery disease
- Varicose veins
Weight & metabolism
Wound care
- Bedsores
- Post-surgery fever or infection
Wounds
- Diabetic foot ulcer
Procedures & services
Most searched procedures
- Appendectomy
- Breast biopsy
- Gallbladder surgery
- Hernia repair surgery
- Lumpectomy
Abdominal
- Gynecologic laparoscopy
- Spleen removal
Abdominal surgery
- Small-bowel resection
- Stomach removal surgery
Bariatric
- Lap band removal
- Weight loss surgery revision
Breast surgery
- Male Breast Reduction
Cancer
- Mastectomy
- Sentinel lymph-node biopsy
- Whipple procedure
Cancer surgery
- Esophagus removal surgery
- Liver tumor removal
Colorectal
- Anal fistula surgery
- Anal Sphincter Repair
- Colon resection
- Hemorrhoid removal
- Ostomy reversal
- Ostomy surgery
- Rectal prolapse repair
- Surgery for chronic anal fissure
Consultations
- Pre-Op Clearance Exam
- Robotic surgery consultation
Diagnostic
- Colonoscopy
- Skin lump biopsy
Digestive
- Acid reflux surgery
- Feeding tube placement
Digestive health
- Endoscopy
- Peroral endoscopic myotomy
Endocrine
- Adrenal gland removal
- Parathyroid surgery
- Thyroid removal surgery
Infections
- Incision and drainage of an abscess
Minor surgery
- Fishhook or embedded splinter removal
- Ingrown toenail removal
Post-op care
- Suture removal
Reconstruction
- Skin graft
Skin & soft tissue
- Cyst Removal
- Lipoma removal
- Mole removal
- Pilonidal cyst surgery
- Scar revision surgery
- Skin Tag Removal
Skin cancer
- Excision of skin cancer
Vascular
- Blood Clot Removal Surgery
- Carotid endarterectomy
- Leg bypass surgery
- Varicose vein removal
Vascular & cancer
- Chemo port placement
- Chemo port removal
Weight loss
- Gastric bypass surgery
- Gastric sleeve surgery
Wound care
- Bed sore surgery
- Negative pressure wound therapy
Wounds
- Wound Debridement For Foot Ulcer
Procedures Most Often Billed to Medicare
376 services · 363 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Procedure | 43239 |
41 | More often than most peers in Surgery |
| Diagnostic exam of large bowel using a flexible endoscope | Procedure | 45378 |
28 | More often than most peers in Surgery |
| Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | Procedure | 45384 |
24 | As often as other peers in Surgery |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
120 | More than most peers in Surgery |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
91 | More often than most peers in Surgery |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
36 | As often as other peers in Surgery |
| Colorectal cancer screening; colonoscopy on individual at high risk | Billing code | G0105 |
24 | More often than most peers in Surgery |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | Office visit | 99203 |
12 | Less often than most peers in Surgery |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other general surgeons at this location 3
Same specialty, same street address — most likely the same department or group.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Trained at University of Kentucky College of Medicine 8
Other providers in the same specialty who trained at the same institution.
More connections — 14 related providers in 2 groups
Class of 1994 at University of Kentucky College of Medicine 8
Providers who graduated from the same medical school in the same year.
Also performs Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 6
Providers in TN who bill this service to Medicare most often.
Common questions
What is Michael P. Sumida's specialty?
Michael P. Sumida is a general surgeon in Athens, TN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Surgery”.
NPI registry
Where can I find Michael P. Sumida?
Michael P. Sumida is listed at 719 Cook Dr Ste 109, Athens, TN 37303. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Michael P. Sumida?
The number on file is (423) 745-2344. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for Michael P. Sumida?
Michael P. Sumida's National Provider Identifier is 1609835115. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Michael P. Sumida's education?
Michael P. Sumida attended University of Kentucky College of Medicine, graduating in 1994. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Michael P. Sumida have?
Michael P. Sumida has 32 years experience. Calculated from a graduation year of 1994, reported in the CMS National Downloadable File.
CMS public data
What is Michael P. Sumida known for?
According to Medicare billing data, Michael P. Sumida performs procedures including biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, diagnostic exam of large bowel using a flexible endoscope and removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Michael P. Sumida's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Michael P. Sumida. If this is you, claiming it is free.
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