DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.) – Dermatology Physician, NPI 1548255482

DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.) is a healthcare provider. based in Santa rosa, California. specializing in DERMATOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D., PH.D.. They hold a License No. G85304 (CA). The NPI Number for DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.) is 1548255482

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.)
NPI
1548255482
Phone
(707) 525-6485
Address
3536 MENDOCINO AVE
Enumeration Date
16 September 2005
Last Update Date
28 March 2017

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
7075454537
Graduation Year
1996 (30 years ago)
PAC ID
4981697588
Group Practice PAC ID
0446243034
Professional Enrollment ID
I20040412000561
Address ID
CA954032805SA2725XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.)

  • 3536, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95403, United States

    STE 200

    SANTA ROSA, CA 954033634

    Phone: (707) 525-6485

    Fax: (707) 573-6918

    Type: Mailing

  • Redwood Family Dermatology, 2725, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95403, United States

    SANTA ROSA, CA 954032805

    Phone: (707) 545-4537

    Fax: (707) 545-6726

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 402 Open Payments records for all available years, with a total value of $206,792.

Total Amount is formed as General ($205,392) + Research ($1,400) + Ownership ($0) = $206,792.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($76,854).

Total Amount

$206,792

General + Research + Ownership

Payments

402

Total payment records

General Amount

$205,392

General payments

Research Amount

$1,400

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040412000561IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity10,2523,020$0
17003Destruction of precancer skin growth, 2-14 growths824125$0
96900Application of ultraviolet light to skin39932$0
99213Established patient office or other outpatient visit, 20-29 minutes309218$0
88304Pathology examination of tissue using a microscope, moderately low complexity250127$0
View full utilization report →

Insurance plans in this area (ZIP 95403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446243034View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.)'s NPI?
Yes. DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.) is listed with NPI 1548255482 in the public NPI dataset.
Does CMS list DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.) as active?
Yes — DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.) is active in the NPI listing used on this page.
What is DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.) best known for clinically?
Directory data describes DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.)?
DR. JEFFREY LOUIS SUGARMAN (M.D., PH.D.)'s geographic hint is Santa Rosa, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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