Kevin D. Sumida, MD
Orthopaedic Surgery Physician · Arlington, VA
Kevin D. Sumida, MD is an orthopaedic surgery physician with a practice address in Arlington, Virginia, and NPI 1578581369, issued on Jul 18, 2006. Check the license (Virginia 0101235315, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Kevin D. Sumida
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 0101235315 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1635 N George Mason Dr, Arlington, VA 22205
- Phone
- (703) 525-6100
- Enumerated
- Jul 18, 2006
- Record last updated
- Oct 22, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (703) 525-6131
- Medicaid ID
- 010135885 VA
- Medicare enrollment
- Enrolled (PECOS I20040303001321); accepts Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 1996
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 586 in Virginia → Look up another NPI →
Also registered at 1635 N George Mason Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Almas Abbas, PAPhysician Assistant1962598847
- Christopher Annunziata, MDOrthopaedic Surgery Physician1548287972
- Gordon Avery, MDOrthopaedic Surgery Physician1407874290
- Noah Batcha, PA-CMedical Physician Assistant1649950791
- Joanne Burton, PTPhysical Therapist1508875527
- Thomas Butler, M.D.Medical Oncology Physician1548225048
Verify Kevin D. Sumida in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101235315Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
60% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
139 Medicare Part D claims for 120 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 14 claims were for opioids.
Most prescribed
- Celecoxib59 claims
- Meloxicam30 claims
- Prednisone14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Orthovirginia IncArlington, VA
- Select Physical Therapy Holdings IncCharlottesville, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kevin D. Sumida among 586 orthopaedic surgery physician records in Virginia
Kevin D. Sumida, MD is one of 586 orthopaedic surgery physician records with a practice address in Virginia. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 13% of them.
- NPI issued2006 · 13% of these records are older, 45% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1996 · median 2003 among the 358 with a school on file
- Record last updated2020 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Virginia
There are 586 orthopaedic surgery physician records in Virginia.
All 586 in Virginia → Every provider in Arlington → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Christopher Annunziata, MDArlington, VA 222051548287972
- Gordon Avery, MDArlington, VA 222051407874290
- Charles Lefton, MDArlington, VA 222051538186960
- John McConnell, MDArlington, VA 222051376566349
- Robert Nirschl, M.D.Arlington, VA 222051124026711
- Derek Ochiai, M.D.Arlington, VA 222051053374116
- William Petersen, M.D., M.P.H.Arlington, VA 222051003250887
- Frank Pettrone, MDArlington, VA 222051316960388
Common questions
What is Kevin D. Sumida, MD's NPI number?
Kevin D. Sumida, MD's National Provider Identifier (NPI) is 1578581369, issued on Jul 18, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kevin D. Sumida, MD located?
The NPPES record lists a practice address at 1635 N George Mason Dr, Arlington, VA, 22205. Phone: (703) 525-6100. Providers update this record themselves, so call before visiting.
How can I verify Kevin D. Sumida, MD's license?
NPPES lists Virginia license number 0101235315, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kevin D. Sumida, MD prescribe under Medicare Part D?
In 2024, Kevin D. Sumida, MD had 139 Medicare Part D claims for 120 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Kevin D. Sumida, MD's MIPS final score?
The 2023 MIPS final score is 76.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.