2026 NPPES data Hospitalist Physician NPI 1740712397
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ANDREW SUMIDA

Hospitalist Physician in WAILUKU, Hawaii. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
251
Medicare Part D claims · 115 beneficiaries · Hospitalist Physician avg: 888
MIPS score
87.039/100
▲ 4 pts above national avg 83.1 · [object Object]

What the federal data shows

ANDREW SUMIDA reported a CMS MIPS final score of 87.039/100 — above the 83.1 national average — and filed 251 Medicare Part D claims in 2023.

87.039/100
MIPS score · +4 vs avg
251
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANDREW SUMIDA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

87 Top 46% higher than 54% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ANDREW SUMIDA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANDREW SUMIDA?

High performer (top quartile)

NPI registry status

Active

Issued 04/03/2017

NPI 1740712397

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

251 72% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

87.039/100 3.939000000000007% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Hawaii

How Hospitalist Physician compares to other specialties among Hawaii providers

Hawaii providers

Hospitalist Physician share within Hawaii

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Hawaii

Medicare quality performance — MIPS

ANDREW SUMIDA's 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
87.039/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 87.039/100 vs national avg 83.1

0%100%National avg83%87%
MIPS final score (Hospitalist Physician) — 87.039/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW SUMIDA appears in the CMS NPPES registry as a Hospitalist Physician provider at 221 MAHALANI ST, WAILUKU, HI, 96793, with a listed phone of (808) 442-5503. NPI 1740712397 was issued on 04/03/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUMIDA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 251 prescription claims written by this provider, covering 115 Medicare beneficiaries and totaling roughly $10K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.039/100 for the 2023 performance year (Quality 76.7847, Cost 89.1786), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

221 MAHALANI ST
WAILUKU, HI 96793

Provider Details

NPI 1740712397
Specialty Hospitalist Physician
Gender Male
NPI Issued 04/03/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

87.039
Final Score
Avg: 83.1
76.7847
Quality
89.1786
Cost
89
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREW SUMIDA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HAWAII PERMANENTE MEDICAL GROUP INC
WAILUKU, HI
MAUI MEDICAL GROUP INC
WAILUKU, HI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

251
Total Claims
$10K
Total Drug Cost
115
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
269
Total Day Supply
5,557
Generic Drug Cost
$3K
Antibiotic Claims
57

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
2.06
Gender Split
33% female / 67% male
Age Distribution
<65: 11, 65-74: 38, 75-84: 48, 85+: 18

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANDREW SUMIDA prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Cefpodoxime Proxetil
18
Furosemide
14
Atorvastatin Calcium
13
Amlodipine Besylate
12
Metoprolol Succinate
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hospitalist Physician Overview

How ANDREW SUMIDA fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

ANDREW SUMIDA's 251 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Hawaii

Other clinicians with the same primary specialty enrolled in Hawaii, drawn from the same CMS NPPES roster as SUMIDA.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW SUMIDA's specialty?
ANDREW SUMIDA specializes in Hospitalist Physician and practices in WAILUKU, Hawaii.
How much does ANDREW SUMIDA prescribe under Medicare Part D?
In 2023, ANDREW SUMIDA wrote 251 Medicare Part D claims totaling $10K in drug costs for 115 beneficiaries.
What is ANDREW SUMIDA's Medicare quality score?
ANDREW SUMIDA has a CMS MIPS Final Score of 87.039/100 (Quality: 76.7847, Cost: 89.1786). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW SUMIDA located?
ANDREW SUMIDA is located at 221 MAHALANI ST, WAILUKU, HI, 96793. Phone: (808) 442-5503.
What is ANDREW SUMIDA's NPI number?
ANDREW SUMIDA's National Provider Identifier (NPI) is 1740712397, issued on 04/03/2017.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does ANDREW SUMIDA prescribe most often?
Based on 2023 Medicare Part D data, ANDREW SUMIDA's most frequently prescribed drugs include Cefpodoxime Proxetil, Furosemide, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW SUMIDA accept Medicare?
ANDREW SUMIDA appears in CMS Medicare data with 251 Part D claims and 115 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW SUMIDA's credentials?
ANDREW SUMIDA's NPI is 1740712397. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology