2026 NPPES data Pediatric Otolaryngology Physician NPI 1730400680 M.D.
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MIKA SUMIYOSHI, M.D.

Pediatric Otolaryngology Physician in SACRAMENTO, California. 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
81
Medicare Part D claims · 18 beneficiaries · Pediatric Otolaryngology Physician avg: 313
MIPS score
87.188/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$171.13
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MIKA SUMIYOSHI, M.D. is a Pediatric Otolaryngology Physician ([object Object]) practicing in SACRAMENTO, California with a Medicare Part D prescribing footprint of 81 claims across 18 beneficiaries . Their CMS MIPS Final Score of 87.188/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $171.13 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MIKA SUMIYOSHI, M.D. reported a CMS MIPS final score of 87.188 out of 100, above the 83.1 national average, and filed 81 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MIKA SUMIYOSHI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MIKA SUMIYOSHI, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/15/2010

NPI 1730400680

Primary specialty

Pediatric Otolaryngology Physician

Niche

574 US NPIs in this specialty

Medicare Part D claims

81 74% vs specialty avg

2023 prescription claims

Specialty avg: 313

MIPS final score

87.188/100 4.088000000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Pediatric Otolaryngology Physician compares to other specialties among California providers

California providers

Pediatric Otolaryngology Physician share within California

1. Pediatric Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Otolaryngology Physician share within California

Medicare quality performance — MIPS

MIKA SUMIYOSHI, M.D.'s 2023 MIPS final score plotted against the Pediatric Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
87.188/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Otolaryngology Physician) — 87.188/100 vs national avg 83.1

0%100%National avg83%87.2%
MIPS final score (Pediatric Otolaryngology Physician) — 87.188/100 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).

MIKA SUMIYOSHI, M.D. is a Pediatric Otolaryngology Physician provider practicing in SACRAMENTO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1730400680. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MIKA SUMIYOSHI, M.D. appears in the CMS NPPES registry as a Pediatric Otolaryngology Physician provider holding M.D. credentials at 2521 STOCKTON BLVD, SACRAMENTO, CA, 95817, with a listed phone of (916) 734-6581. NPI 1730400680 was issued on 06/15/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUMIYOSHI 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 81 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $2K 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 87.188/100 for the 2023 performance year (Quality 84.0953, Cost 56.5312), compared with the national average of 83.1.

Pediatric Otolaryngology Physician is a narrow specialty nationwide, with 574 enrolled providers across 43 states and an average of 313 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

2521 STOCKTON BLVD
SACRAMENTO, CA 95817

Provider Details

NPI 1730400680
Specialty Pediatric Otolaryngology Physician
Credentials M.D.
Gender Female
NPI Issued 06/15/2010

CMS Quality Score (MIPS)

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

87.188
Final Score
Avg: 83.1
84.0953
Quality
56.5312
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MIKA SUMIYOSHI, M.D. 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.

COUNTY OF VENTURA
VENTURA, CA

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MIKA SUMIYOSHI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$171

Largest payer

AERIN MEDICAL INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to MIKA SUMIYOSHI, M.D.. To verify MIKA SUMIYOSHI, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

81
Total Claims
$2K
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
92
Total Day Supply
2,481
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
0.93

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Omeprazole
31
Fluticasone Propionate
12

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

Pediatric Otolaryngology Physician Overview

How MIKA SUMIYOSHI, M.D. fits within the Pediatric Otolaryngology Physician landscape nationally.

574
Pediatric Otolaryngology Physician Providers in US
43
States with Pediatric Otolaryngology Physician
313
Avg Claims per Provider

MIKA SUMIYOSHI, M.D.'s 81 claims are below the specialty average of 313.

Nearby Pediatric Otolaryngology Physician Providers in California

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

Compare Pediatric Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MIKA SUMIYOSHI, M.D.'s specialty?
MIKA SUMIYOSHI, M.D. specializes in Pediatric Otolaryngology Physician and practices in SACRAMENTO, California. Credentials: M.D..
How much does MIKA SUMIYOSHI, M.D. prescribe under Medicare Part D?
In 2023, MIKA SUMIYOSHI, M.D. wrote 81 Medicare Part D claims totaling $2K in drug costs for 18 beneficiaries.
What is MIKA SUMIYOSHI, M.D.'s Medicare quality score?
MIKA SUMIYOSHI, M.D. has a CMS MIPS Final Score of 87.188/100 (Quality: 84.0953, Cost: 56.5312). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MIKA SUMIYOSHI, M.D. located?
MIKA SUMIYOSHI, M.D. is located at 2521 STOCKTON BLVD, SACRAMENTO, CA, 95817. Phone: (916) 734-6581.
What is MIKA SUMIYOSHI, M.D.'s NPI number?
MIKA SUMIYOSHI, M.D.'s National Provider Identifier (NPI) is 1730400680, issued on 06/15/2010.
How many Pediatric Otolaryngology Physician providers are there in the US?
There are 574 Pediatric Otolaryngology Physician providers across 43 states in the US. The average Pediatric Otolaryngology Physician provider writes 313 Medicare Part D claims per year.
What drugs does MIKA SUMIYOSHI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MIKA SUMIYOSHI, M.D.'s most frequently prescribed drugs include Omeprazole, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MIKA SUMIYOSHI, M.D. accept Medicare?
MIKA SUMIYOSHI, M.D. appears in CMS Medicare data with 81 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MIKA SUMIYOSHI, M.D.'s credentials?
MIKA SUMIYOSHI, M.D.'s NPI is 1730400680 with credentials M.D.. 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