DR. MARK SEAN SUMIDA (MD) – Orthopaedic Surgery Physician, NPI 1093764037
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
739 ORTHOPEDIC SURGERY in TN
Provider Addresses for DR. MARK SEAN SUMIDA (MD)
1724 HAMILL ROAD SUITE 204
HIXSON, TN 37343
Phone: (423) 877-4705
Fax: (423) 877-9970
Type: Mailing
3024 BUSINESS PARK CIR
GOODLETTSVILLE, TN 370723132
Phone: (615) 239-2018
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $5,821.
Total Amount is formed as General ($5,821) + Research ($0) + Ownership ($0) = $5,821.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Arthrex, Inc. ($2,062).
Total Amount
$5,821
General + Research + Ownership
Payments
51
Total payment records
General Amount
$5,821
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $2,062 |
| SMOKY MOUNTAIN SURGICAL LLC | $1,688 |
| Smoky Mountain Surgical Llc | $1,195 |
| Smith+Nephew, Inc. | $680 |
| MEDACTA USA, INC. | $178 |
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: 2010-08-18
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 |
|---|---|---|---|---|
| I20100818000781 | I | Orthopedic Surgery | TN | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,225 | 234 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 566 | 314 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 428 | 213 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 394 | 246 | $0 |
| 73562 | X-ray of knee, 3 views | 296 | 212 | $0 |
Insurance plans in this area (ZIP 37343)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| Family Practice, Sports Medicine | TN | |
| Family Practice, General Practice | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| - | TN |
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