Sumit Sitole, M.D.
Ophthalmology Physician · Denver, CO
Sumit Sitole, M.D. is an ophthalmology physician with a practice address in Denver, Colorado, and NPI 1205088507, issued on Oct 17, 2008. Check the license on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- Sumit Sitole
- Credential
- M.D.
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- D67988 MD
Self-reported in NPPES; status is on the state search - Practice location
- 55 Madison St, Denver, CO 80206
- Phone
- (303) 377-2020
- Enumerated
- Oct 17, 2008
- Record last updated
- Sep 10, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (303) 388-0606
- Medicaid ID
- 84034785 CO
- Medicare enrollment
- Enrolled (PECOS I20101013000506); accepts Medicare assignment
- Medical or professional school
- Tufts University School Of Medicine, 2004
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 338 in Colorado → Look up another NPI →
Also registered at 55 Madison St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Howard Amiel, M.D., M.S.Ophthalmology Physician1306964317
- Gary Belen, M.D.Specialist1841274933
- Douglas Carrel, MSW, LCSWClinical Social Worker1487865317
- Thomas Cruse, O.D.Optometrist1588919443
- Nicole Eberle, D.D.S., M.S.Orthodontics and Dentofacial Orthopedics Dentistry1538372891
- William Eckert, CRNACertified Registered Nurse Anesthetist1477605665
Verify Sumit Sitole in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical BoardCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
59% fewer Medicare Part D claims than the average ophthalmology physician in 2024
623 Medicare Part D claims for 254 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 40% of claims.
Most prescribed
- Neomycin-Polymyxin-Dexameth318 claims
- Tobramycin-Dexamethasone83 claims
- Prednisone73 claims
- Azithromycin67 claims
- Lotemax19 claims
- Loteprednol Etabonate16 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 MIPS final score for 2023 (Medicare payment program): 82.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $24.45
1 payment: food and beverage; the largest payer was Biotissue Holdings Inc. The 13,221 providers of this specialty with any payment received $4,535.02 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
- Denver OculoplasticsDenver, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sumit Sitole among 338 ophthalmology physician records in Colorado
Sumit Sitole, M.D. is one of 338 ophthalmology physician records with a practice address in Colorado. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 70% of them.
- NPI issued2008 · 70% of these records are older, 26% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2004 · median 2001 among the 199 with a school on file
- Record last updated2012 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Colorado
There are 338 ophthalmology physician records in Colorado.
All 338 in Colorado → Every provider in Denver → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Howard Amiel, M.D., M.S.Denver, CO 802061306964317
- Kenneth Kauvar, MDDenver, CO 802061255510202
- Michael Solomon, DODenver, CO 802061891736633
- Jason Wang, MDDenver, CO 802061275514937
- Genie Bang, M.D.Denver, CO 802051366618548
- Heidi Becker, MDDenver, CO 802051821293523
- George Chaitkin, M.D.Denver, CO 802051306063714
- Maxwell Court, MDDenver, CO 802051134747819
Common questions
What is Sumit Sitole, M.D.'s NPI number?
Sumit Sitole, M.D.'s National Provider Identifier (NPI) is 1205088507, issued on Oct 17, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Sumit Sitole, M.D. located?
The NPPES record lists a practice address at 55 Madison St, Denver, CO, 80206. Phone: (303) 377-2020. Providers update this record themselves, so call before visiting.
How can I verify Sumit Sitole, M.D.'s license?
Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sumit Sitole, M.D. prescribe under Medicare Part D?
In 2024, Sumit Sitole, M.D. had 623 Medicare Part D claims for 254 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Sumit Sitole, M.D.'s MIPS final score?
The 2023 MIPS final score is 82.2 of 100. 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.