Michael P. Sumida, M.D.
Surgery Physician · Athens, TN
Michael P. Sumida, M.D. is a surgery physician with a practice address in Athens, Tennessee, and NPI 1609835115, issued on Mar 22, 2006. Check the license (Tennessee MD27304, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Michael P. Sumida
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- MD27304 TN
Self-reported in NPPES; status is on the state search - Practice location
- 719 Cook Dr, Athens, TN 37303
- Phone
- (423) 745-2344
- Enumerated
- Mar 22, 2006
- Record last updated
- Mar 1, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (423) 745-2314
- Medicaid ID
- 3096585 TN
- Medicare enrollment
- Enrolled (PECOS I20100914001079); accepts Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 1994
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 631 in Tennessee → Look up another NPI →
Also registered at 719 Cook Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nicholas Ballay, MDSurgery Physician1295093052
- William Bowers, MDFamily Medicine Physician1144248782
- Preston Brown, M.D.Surgery Physician1306806112
- Thomas Layman, M.D.Surgery Physician1417917212
- Martha Pascarella, NPFamily Nurse Practitioner1174549638
Verify Michael P. Sumida in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license MD27304Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
16% more Medicare Part D claims than the average surgery physician in 2024
171 Medicare Part D claims for 95 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 35 claims were for opioids.
Most prescribed
- Famotidine35 claims
- Oxycodone-Acetaminophen35 claims
- Pantoprazole Sodium26 claims
- Omeprazole21 claims
- Sulfamethoxazole-Trimethoprim11 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: $16.50
1 payment: food and beverage; the largest payer was Myriad Genetic Laboratories, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 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).
Michael P. Sumida among 631 surgery physician records in Tennessee
Michael P. Sumida, M.D. is one of 631 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 16% of them.
- NPI issued2006 · 16% of these records are older, 46% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated1994 · median 2003 among the 404 with a school on file
- Record last updated2010 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Tennessee
There are 631 surgery physician records in Tennessee.
All 631 in Tennessee → Every provider in Athens → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Nicholas Ballay, MDAthens, TN 373031295093052
- Preston Brown, M.D.Athens, TN 373031306806112
- Thomas Layman, M.D.Athens, TN 373031417917212
- Shannon Beierle, MDCleveland, TN 373111497194336
- John Boxberger, MDCleveland, TN 373111508429754
- Jason Dunn, M.D.Cleveland, TN 373111932396405
- William Johnson, MDCleveland, TN 373111316988595
- James Knabb, MDCleveland, TN 373111801800313
Common questions
What is Michael P. Sumida, M.D.'s NPI number?
Michael P. Sumida, M.D.'s National Provider Identifier (NPI) is 1609835115, issued on Mar 22, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Michael P. Sumida, M.D. located?
The NPPES record lists a practice address at 719 Cook Dr, Athens, TN, 37303. Phone: (423) 745-2344. Providers update this record themselves, so call before visiting.
How can I verify Michael P. Sumida, M.D.'s license?
NPPES lists Tennessee license number MD27304, 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 Michael P. Sumida, M.D. prescribe under Medicare Part D?
In 2024, Michael P. Sumida, M.D. had 171 Medicare Part D claims for 95 beneficiaries; the average among surgery physician prescribers was 147. 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.