Active NPI 1992937189 Individual Practitioner Male Practitioner

Dr. Michael John Sumko , DO

Orthopaedic Surgery • Tempe, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sumko, DO is a certified Orthopaedic Surgery practicing in Tempe, AZ. With approximately 17 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2009, Dr. Sumko delivers high-quality medical care to the local community at 1492 S MILL AVE STE 113.

Dr. Sumko is affiliated with Vhs Outpatient Clinics Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, destruction of peripheral nerve or branch, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1492 S Mill Ave Ste 113

Tempe, AZ 852815660

Telephone 6025533113

Associated Practice Facility / Clinic

🏢 Honorhealth Ambulatory Facility NPI 1700603206

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tempe, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -13.8 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Tempe, AZ (501 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumko (17 Years) 17 Yrs

Tempe Specialty Average (30.8 Years) 30.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	732	69	$6.00	$0.99
64640 Destruction of peripheral nerve or branch	245	49	$588.00	$142.58
99213 Established patient office or other outpatient visit, typically 15 minutes	191	153	$202.00	$87.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	182	182	$456.00	$160.78
73564 X-ray of knee, 4 or more views	180	171	$116.00	$45.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	126	$298.00	$123.34
27447 Replacement of knee joint, both sides of knee	137	128	$3941.00	$1222.87
20610 Aspiration and/or injection of fluid from large joint	132	89	$191.00	$70.85
73560 X-ray of knee, 1-2 views	128	103	$88.00	$32.86
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	127	25	$410.74	$118.24
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	119	68	$256.00	$115.52
73502 X-ray of hip, 2-3 views	75	69	$116.00	$45.39
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	72	50	$2117.00	$683.88
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	60	60	$366.00	$55.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	52	$401.00	$166.71
27130 Replacement of thigh bone and hip joint with prosthesis	38	37	$3829.00	$1229.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$573.00	$212.70
72110 X-ray of lower and sacral spine, minimum of 4 views	27	27	$136.00	$49.91
72170 X-ray of pelvis, 1-2 views	25	25	$90.00	$25.77
73501 X-ray of hip with pelvis, 1 view	21	18	$85.00	$31.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$122.00	$54.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	672	11	$36.00	$8.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	497	62	$6.00	$1.06
73564 X-ray of knee, 4 or more views	155	146	$116.00	$44.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$456.00	$160.44
64640 Destruction of peripheral nerve or branch	136	28	$588.00	$143.76
27447 Replacement of knee joint, both sides of knee	120	112	$3941.00	$1241.53
99213 Established patient office or other outpatient visit, typically 15 minutes	103	90	$202.00	$87.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	83	$298.00	$123.70
20610 Aspiration and/or injection of fluid from large joint	91	66	$191.00	$66.99
73560 X-ray of knee, 1-2 views	76	68	$88.00	$33.23
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	61	44	$256.00	$115.03
73502 X-ray of hip, 2-3 views	57	55	$116.00	$45.56
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	55	20	$406.47	$124.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$573.00	$208.55
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	28	$366.00	$56.52
27130 Replacement of thigh bone and hip joint with prosthesis	27	25	$3829.00	$1242.87
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	17	13	$2117.00	$705.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$401.00	$173.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	688	11	$32.86	$10.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	315	41	$17.19	$1.15
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	190	50	$447.88	$131.54
73564 X-ray of knee, 4 or more views	143	125	$115.30	$44.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	121	59	$323.46	$116.58
20610 Aspiration and/or injection of fluid from large joint	119	75	$196.28	$71.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$467.30	$162.34
99213 Established patient office or other outpatient visit, typically 15 minutes	81	71	$213.65	$88.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	66	$307.04	$125.06
73560 X-ray of knee, 1-2 views	71	58	$90.48	$33.48
27447 Replacement of knee joint, both sides of knee	60	56	$4023.00	$1261.13
73502 X-ray of hip, 2-3 views	30	28	$119.10	$46.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$410.88	$176.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$314.55	$110.01
72170 X-ray of pelvis, 1-2 views	14	13	$92.00	$27.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$565.33	$215.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$131.00	$55.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	156	140	$117.44	$44.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$492.00	$164.18
99213 Established patient office or other outpatient visit, typically 15 minutes	75	61	$218.00	$89.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	70	$322.00	$127.59
J1030 Injection, methylprednisolone acetate, 40 mg	66	31	$9.00	$5.69
20610 Aspiration and/or injection of fluid from large joint	63	53	$190.56	$67.33
27447 Replacement of knee joint, both sides of knee	57	53	$4064.00	$1276.77
73560 X-ray of knee, 1-2 views	46	40	$92.00	$33.39
73502 X-ray of hip, 2-3 views	45	42	$123.00	$45.44
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	44	13	$455.00	$137.60
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	38	30	$333.42	$119.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$434.00	$178.31
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$4068.00	$1278.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$322.00	$110.42
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$104.00	$38.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	110	85	$118.24	$41.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$484.81	$159.96
J1030 Injection, methylprednisolone acetate, 40 mg	72	34	$9.00	$6.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	53	$322.00	$107.42
20610 Aspiration and/or injection of fluid from large joint	50	46	$189.92	$65.23
27447 Replacement of knee joint, both sides of knee	49	45	$4064.00	$1363.75
73502 X-ray of hip, 2-3 views	37	37	$123.00	$44.06
73560 X-ray of knee, 1-2 views	34	31	$92.00	$30.69
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$218.12	$73.09
27130 Replacement of thigh bone and hip joint with prosthesis	25	23	$4068.00	$1369.03
72170 X-ray of pelvis, 1-2 views	11	11	$94.00	$27.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$131.00	$44.85
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$104.00	$37.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	182	149	$117.00	$40.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$492.00	$162.21
20610 Aspiration and/or injection of fluid from large joint	150	82	$224.35	$67.97
99213 Established patient office or other outpatient visit, typically 15 minutes	122	104	$218.00	$73.43
J1030 Injection, methylprednisolone acetate, 40 mg	122	58	$9.00	$6.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	106	$322.00	$105.88
73560 X-ray of knee, 1-2 views	109	81	$92.00	$31.73
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	85	23	$465.71	$141.41
27447 Replacement of knee joint, both sides of knee	73	68	$4273.37	$1349.57
73501 X-ray of hip with pelvis, 1 view	59	54	$89.00	$29.86
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	51	13	$520.00	$285.09
72170 X-ray of pelvis, 1-2 views	25	24	$94.00	$32.44
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	12	$390.05	$111.73
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$4322.25	$1361.82
73502 X-ray of hip, 2-3 views	13	13	$123.00	$42.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	133	102	$120.90	$37.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$488.52	$156.64
73560 X-ray of knee, 1-2 views	109	72	$92.00	$29.45
20610 Aspiration and/or injection of fluid from large joint	109	57	$215.13	$62.78
99213 Established patient office or other outpatient visit, typically 15 minutes	97	82	$216.97	$68.23
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	79	24	$426.20	$143.61
27447 Replacement of knee joint, both sides of knee	63	51	$4112.38	$1300.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	53	$320.55	$102.55
J1030 Injection, methylprednisolone acetate, 40 mg	58	31	$9.00	$6.41
73502 X-ray of hip, 2-3 views	54	46	$123.00	$38.16
72170 X-ray of pelvis, 1-2 views	27	26	$94.00	$30.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$130.24	$41.75
73501 X-ray of hip with pelvis, 1 view	24	21	$89.00	$28.52
27130 Replacement of thigh bone and hip joint with prosthesis	20	18	$4322.25	$1219.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$321.25	$102.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73564 X-ray of knee, 4 or more views	100	74	$79.57	$38.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$328.00	$157.78
99213 Established patient office or other outpatient visit, typically 15 minutes	83	63	$146.00	$69.80
J1030 Injection, methylprednisolone acetate, 40 mg	70	28	$9.00	$5.60
20610 Aspiration and/or injection of fluid from large joint	69	39	$127.09	$60.24
73560 X-ray of knee, 1-2 views	68	48	$62.00	$29.83
73501 X-ray of hip with pelvis, 1 view	49	40	$59.00	$28.81
27447 Replacement of knee joint, both sides of knee	42	40	$2750.00	$1331.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	31	$87.00	$42.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$215.00	$104.64
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$2751.00	$1270.02
72170 X-ray of pelvis, 1-2 views	14	12	$64.00	$30.83

Medical Specialties & State Licenses

CMS Verified: 2020-04-21

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA OT013195

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Vhs Outpatient Clinics Inc

1840 S Stapley Dr, Mesa, AZ 852046683

Phone: 4805583744

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

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Certified Athletic Trainer

Dr. Joshua Maniam , MD

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Doctor of Medicine (M.D.)

Dr. Mauricio Valdes , MD

Orthopaedic Surgery

NPI 1396964516

Doctor of Medicine (M.D.)

Dr. Aaron Kubinski , DO

Family Medicine

NPI 1427794197

Doctor of Osteopathic Medicine (D.O.)

Gertie Venckus

Orthopaedic Surgery - Sports Medicine

NPI 1548001746

Dr. H Collins , MD

Orthopaedic Surgery

NPI 1558675066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 21, 2020

Registered at 1492 S MILL AVE STE 113, TEMPE, AZ 852815660 (Tel: 6025533113)

📍

Updated Business Mailing Address April 13, 2020

Registered at 1492 S MILL AVE STE 113, TEMPE, AZ 852815660 (Tel: 4802572770)

✅

NPI Profile Active August 20, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2009

Registered at 4300 LONDONDERRY RD, HARRISBURG, PA 171095317 (Tel: 7176577200)

📍

Updated Business Mailing Address August 20, 2009

Registered at 415 APPLETREE RD, CAMP HILL, PA 170112104 (Tel: 8017870447)

👤

Provider Name / Credentials Updated August 20, 2009

Recorded as MICHAEL SUMKO, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2009

Orthopaedic Surgery (License #OT013195 in PA)

🟢

Initial NPI Registration & Enumeration August 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992937189

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 20, 2009

Last Update: April 21, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1492 S Mill Ave Ste 113

Tempe, AZ 852815660

Phone: 4802572770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.