BRIAN T. SUGAI (DPM) – Podiatrist, NPI 1063516227
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 PODIATRY in HI
Provider Addresses for BRIAN T. SUGAI (DPM)
670 PONAHAWAI ST STE 206
HILO, HI 967207830
Phone: (808) 935-5597
Fax: (808) 935-7904
Type: Mailing
Hilo Lagoon Centre, 101, Aupuni Street, Waiākea, Hilo, Hawaiʻi County, Hawaii, 96720, United States
STE 238
HILO, HI 967204261
Phone: (808) 935-5597
Fax: (808) 935-7904
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $3,015.
Total Amount is formed as General ($3,015) + Research ($0) + Ownership ($0) = $3,015.
Last reported payment date: 2024-10-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($3,015).
Total Amount
$3,015
General + Research + Ownership
Payments
7
Total payment records
General Amount
$3,015
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $3,015 |
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: 2004-09-13
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 |
|---|---|---|---|---|
| I20040913000024 | I | Podiatry | HI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,580 | 507 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 1,059 | 304 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 188 | 77 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 146 | 101 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 123 | 123 | $0 |
Insurance plans in this area (ZIP 96720)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | HI | 11056 | Removal of 2 to 4 thickened skin growths | 166 | 81 |
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