DR. MICHAEL GARY SUGARMAN (MD) – Specialist, NPI 1225027956
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
18 NEUROSURGERY in DE
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Provider Addresses for DR. MICHAEL GARY SUGARMAN (MD)
Holiday Inn Express & Suites Wilmington-Newark, 1201, Christiana Road, Concord Towers, Newark, New Castle County, Delaware, 19713, United States
SUITE 202
NEWARK, DE 197134236
Phone: (302) 366-7671
Fax: (302) 366-7649
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-02-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110207000449 | I | Neurosurgery | DE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 194 | 145 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 98 | 98 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 45 | 45 | $0 |
| 22614 | Fusion of additional segment of spine | 44 | 17 | $0 |
Insurance plans in this area (ZIP 19713)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROSURGERY | DE | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | DE | |
| N E U R O S U R G E R Y | DE | |
| Physician Assistant | DE | |
| N E U R O S U R G E R Y | PA | |
| N E U R O S U R G E R Y | DE | |
| N E U R O S U R G E R Y | DE | |
| Nurse Practitioner | DE | |
| Physician Assistant | DE | |
| Physician Assistant | DE | |
| Physician Assistant | DE |
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