KRISTOFFER BRADLEY SUGG (MD, PHD) – Plastic and Reconstructive Surgery Physician, NPI 1104029693

KRISTOFFER BRADLEY SUGG (MD, PHD) is a healthcare provider. based in Ann arbor, Michigan. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, GENERAL SURGERY. They hold the professional credentials MD, PHD. They hold a License No. 35.146320 (OH). The NPI Number for KRISTOFFER BRADLEY SUGG (MD, PHD) is 1104029693

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOFFER BRADLEY SUGG (MD, PHD)
NPI
1104029693
Phone
(734) 747-6766
Address
24 FRANK LLOYD WRIGHT DR STE J2000
Enumeration Date
11 June 2007
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5675850005
Graduation Year
2007 (19 years ago)
PAC ID
7810138591
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20230203002466
Address ID
OH435602767SY5700XSTXX300

Contacts

Secure Messaging
ksugg252350@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

248 PLASTIC AND RECONSTRUCTIVE SURGERY in MI

Provider Addresses for KRISTOFFER BRADLEY SUGG (MD, PHD)

  • 24 FRANK LLOYD WRIGHT DR STE J2000

    ANN ARBOR, MI 481059484

    Phone: (734) 747-6766

    Fax: (734) 222-3100

    Type: Mailing

  • 2305 GENOA BUSINESS PARK DR STE 120

    BRIGHTON, MI 481147004

    Phone: (810) 494-6881

    Fax: (810) 494-6882

    Type: Location

  • 5308 HARROUN RD STE 280

    SYLVANIA, OH 435602190

    Phone:

    Type: Mailing

  • 100 MADISON AVE

    TOLEDO, OH 436041516

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $448.

Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Integra LifeSciences Corporation ($225).

Total Amount

$448

General + Research + Ownership

Payments

16

Total payment records

General Amount

$448

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2023-02-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130723000057IPlastic And Reconstructive SurgeryMITBD
I20230203002466IPlastic And Reconstructive SurgeryOHTBD

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
99203New patient office or other outpatient visit, 30-44 minutes3737$0
View full utilization report →

Insurance plans in this area (ZIP 48105)

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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: 2365348190View full group profile

Reviews

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Frequently asked questions

How do payers reference KRISTOFFER BRADLEY SUGG (MD, PHD)?
For KRISTOFFER BRADLEY SUGG (MD, PHD), use NPI 1104029693 as the unique 10-digit identifier.
Is there an active status for KRISTOFFER BRADLEY SUGG (MD, PHD)?
For scheduling context, KRISTOFFER BRADLEY SUGG (MD, PHD) is shown as active in the registry.
What kind of doctor is KRISTOFFER BRADLEY SUGG (MD, PHD)?
KRISTOFFER BRADLEY SUGG (MD, PHD) is associated with Plastic and Reconstructive Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTOFFER BRADLEY SUGG (MD, PHD)?
Travel planning: use Ann Arbor, Michigan as the reference point for KRISTOFFER BRADLEY SUGG (MD, PHD), then confirm.
Can I trust this NPI listing for KRISTOFFER BRADLEY SUGG (MD, PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.