NPPES file of Aug 9, 2026

Valerie Emi Sugiyama, MD

Obstetrics & Gynecology Physician · Modesto, CA

Valerie Emi Sugiyama, MD is an obstetrics & gynecology physician with a practice address in Modesto, California, and NPI 1548336795, issued on Nov 28, 2006. Check the license (California A94717, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1548336795
Name
Valerie Emi Sugiyama
Credential
MD
Primary taxonomy
Obstetrics & Gynecology Physician 207V00000X
License number
A94717 CA
Self-reported in NPPES; status is on the state search
Practice location
1409 E Briggsmore Ave, Modesto, CA 95355
Phone
(209) 524-1211
Enumerated
Nov 28, 2006
Record last updated
Apr 26, 2024
Medicare enrollment
Enrolled (PECOS I20070104000308); accepts Medicare assignment
Medical or professional school
University Of California, Irvine, California College Of Medicine, 2002
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1409 E Briggsmore Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rodolfo Agbunag, MDSurgery Physician1316995111
  2. Robert Altman, MDObstetrics & Gynecology Physician1447200860
  3. Shawna Avery, OTCOther Technician1477613883
  4. James Balmanno, OTCOther Technician1912074568
  5. Sean Betesh, DPMPodiatrist1982023842
  6. David Boone, PA-CMedical Physician Assistant1861895278

Verify Valerie Emi Sugiyama in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A94717
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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47% fewer Medicare Part D claims than the average obstetrics & gynecology physician in 2024

87 Medicare Part D claims for 35 beneficiaries, against an average of 165 among the 28,733 providers of this specialty who prescribed in Part D. 23 claims were for opioids.

  1. Valerie Sugiyama87
  2. Specialty average165

Most prescribed

  1. Hydrocodone-Acetaminophen18 claims
  2. Ibuprofen15 claims
  3. Clobetasol Propionate11 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): 76.5 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.

  1. Qualityout of 100 · 30% of the final score74.3
  2. Costout of 100 · 30%44.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $187.46

7 payments; by number, the most common kind was food and beverage; the largest payer was SpringWorks Therapeutics, Inc. The 21,429 providers of this specialty with any payment received $1,030.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Valerie Sugiyama$187.46
  2. Specialty average$1,030.61

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

One hospital affiliation

  1. Stanford Health CareStanford, CA · Acute Care Hospitals5 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Valerie Emi Sugiyama among 5,088 obstetrics & gynecology physician records in California

Valerie Emi Sugiyama, MD is one of 5,088 obstetrics & gynecology physician records with a practice address in California. 74% 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 5% of them.

  • NPI issued2006 · 5% of these records are older, 52% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 53% of these records are
  • Graduated2002 · median 2004 among the 2,700 with a school on file
  • Record last updated2024 · 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 207V00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Obstetrics & Gynecology Physician providers in California

There are 5,088 obstetrics & gynecology physician records in California.

The 8 obstetrics & gynecology physician records with the nearest ZIP codes

  1. Robert Altman, MDModesto, CA 953551447200860
  2. Dennise Davis, MDModesto, CA 953551487604989
  3. Larry Erickson, MDModesto, CA 953551437195674
  4. Fredric Feist, M.D.Modesto, CA 953551528031705
  5. David Henry, MDModesto, CA 953551801838917
  6. Maud Liva, M.D.Modesto, CA 953551306060835
  7. Joseph Mansour, MDModesto, CA 953551679668420
  8. Jon Pont, M.D.Modesto, CA 953551912957259

Common questions

What is Valerie Emi Sugiyama, MD's NPI number?

Valerie Emi Sugiyama, MD's National Provider Identifier (NPI) is 1548336795, issued on Nov 28, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Valerie Emi Sugiyama, MD located?

The NPPES record lists a practice address at 1409 E Briggsmore Ave, Modesto, CA, 95355. Phone: (209) 524-1211. Providers update this record themselves, so call before visiting.

How can I verify Valerie Emi Sugiyama, MD's license?

NPPES lists California license number A94717, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Valerie Emi Sugiyama, MD prescribe under Medicare Part D?

In 2024, Valerie Emi Sugiyama, MD had 87 Medicare Part D claims for 35 beneficiaries; the average among obstetrics & gynecology physician prescribers was 165. Part D covers Medicare prescriptions only.

What is Valerie Emi Sugiyama, MD's MIPS final score?

The 2023 MIPS final score is 76.5 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.