Mark Sean Sumida, MD
Orthopaedic Surgery Physician · Hixson, TN
Mark Sean Sumida, MD is an orthopaedic surgery physician with a practice address in Hixson, Tennessee, and NPI 1093764037, issued on May 8, 2006. Check the license (Tennessee 20177, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Mark Sean Sumida
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 20177 TN
Self-reported in NPPES; status is on the state search - Practice location
- 1724 Hamill Road Suite 204, Hixson, TN 37343
- Phone
- (423) 877-4705
- Enumerated
- May 8, 2006
- Record last updated
- Feb 20, 2023
- Fax
- (423) 877-9970
- Medicare enrollment
- Enrolled (PECOS I20100818000781); accepts Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 1988
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 467 in Tennessee → Look up another NPI →
Verify Mark Sean Sumida in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 20177Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
52% more Medicare Part D claims than the average orthopaedic surgery physician in 2024
526 Medicare Part D claims for 194 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 153 claims were for opioids.
Most prescribed
- Meloxicam156 claims
- Ondansetron Odt81 claims
- Hydrocodone-Acetaminophen72 claims
- Oxycodone-Acetaminophen68 claims
- Amoxicillin41 claims
- Celecoxib28 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.
Industry payments in 2024: $3,013.39
26 payments; by number, the most common kind was food and beverage; the largest payer was Smoky Mountain Surgical Llc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Advanced Diagnostic Imaging PCGoodlettsville, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark Sean Sumida among 467 orthopaedic surgery physician records in Tennessee
Mark Sean Sumida, MD is one of 467 orthopaedic surgery physician records with a practice address in Tennessee. 77% 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 23% of them.
- NPI issued2006 · 23% of these records are older, 42% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated1988 · median 2003 among the 306 with a school on file
- Record last updated2023 · 47% 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 Tennessee 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 Tennessee
There are 467 orthopaedic surgery physician records in Tennessee.
All 467 in Tennessee → Every provider in Hixson → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Kurt Chambless, M.D.Hixson, TN 373431821284282
- William Matthews, M.D.Hixson, TN 373431235213059
- Norman McElheney, MDHixson, TN 373431821098658
- Neil Spitalny, M.D.Hixson, TN 373431114948122
- Robert Collins, MDJasper, TN 373471982602504
- Le Roy Gurganious, M.D.Fayetteville, TN 373341710097290
- Brian Petersen, D.O.Manchester, TN 373551861693095
- James McClure, M.D.Decherd, TN 373241073559803
Common questions
What is Mark Sean Sumida, MD's NPI number?
Mark Sean Sumida, MD's National Provider Identifier (NPI) is 1093764037, issued on May 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mark Sean Sumida, MD located?
The NPPES record lists a practice address at 1724 Hamill Road Suite 204, Hixson, TN, 37343. Phone: (423) 877-4705. Providers update this record themselves, so call before visiting.
How can I verify Mark Sean Sumida, MD's license?
NPPES lists Tennessee license number 20177, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mark Sean Sumida, MD prescribe under Medicare Part D?
In 2024, Mark Sean Sumida, MD had 526 Medicare Part D claims for 194 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
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.