Active NPI 1225027956 Individual Practitioner Male Practitioner

Dr. Michael Gary Sugarman , MD

Specialist • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sugarman, MD is a certified Specialist practicing in Newark, DE. With approximately 42 years of clinical experience since graduating from George Washington University School Of Medicine in 1984, Dr. Sugarman delivers high-quality medical care to the local community at 774 CHRISTIANA RD.

Dr. Sugarman maintains professional affiliations with Delaware Neurosurgical Group, Pa, Agape Physical Therapy And Sports Rehabilitation Lp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, fusion of additional segment of spine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

774 Christiana Rd
Suite 202

Newark, DE 197134236

Telephone 3023667671

Fax 3023667649

Associated Practice Facility / Clinic

🏢 Neurology Associates, Pa Facility NPI 1720039985

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Newark, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +6.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

44 Specialists

Practicing in Newark, DE (148 Statewide)

Telehealth Adoption Rate

6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sugarman (42 Years) 42 Yrs

Newark Specialty Average (36.0 Years) 36.0 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	215	157	$920.45	$170.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	187	187	$1419.06	$208.02
22614 Fusion of additional segment of spine	57	21	$2507.68	$368.56
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	25	$1415.55	$242.06
77012 Review by radiologist of ct guidance for needle placement	39	38	$850.00	$65.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$1111.14	$123.74
61783 Computer-assisted spinal procedure	33	31	$1438.60	$218.33
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	11	$3141.26	$198.68
72148 MRI scan of lower spinal canal	26	24	$3419.70	$186.56
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	22	$11290.17	$1722.38
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	21	13	$3442.46	$454.46
62323 Injection of substance into lower spine canal using imaging guidance	21	15	$763.50	$94.06
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	20	$8671.24	$718.29
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	16	16	$3750.00	$243.54
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	15	15	$10341.67	$1620.16
20931 Donor bone graft for spine surgery	15	15	$670.07	$103.85
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$5053.75	$683.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$674.28	$121.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	194	145	$741.65	$176.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	98	98	$1155.78	$217.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$873.96	$165.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$911.00	$128.92
22614 Fusion of additional segment of spine	44	17	$2049.29	$386.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$560.54	$125.57
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	15	$2589.75	$207.76
77012 Review by radiologist of ct guidance for needle placement	25	25	$850.00	$69.61
72148 MRI scan of lower spinal canal	23	22	$3419.70	$199.90
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	15	$1147.41	$254.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	16	$549.48	$117.86
62323 Injection of substance into lower spine canal using imaging guidance	18	14	$763.50	$97.63
61783 Computer-assisted spinal procedure	15	15	$1165.00	$228.99
61312 Aspiration of blood accumulation in brain	15	12	$5517.60	$1898.00
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$7003.70	$753.93
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	13	13	$7132.68	$1493.85
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$6100.00	$900.98
63056 Release of lower spinal cord and/or nerves	11	11	$7542.10	$1423.54
22214 Incision of spine to correct deformity at lower spinal column	11	11	$3102.00	$756.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	154	115	$739.50	$182.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$873.96	$169.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	80	$547.92	$130.00
22614 Fusion of additional segment of spine	49	23	$2049.29	$393.51
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	48	24	$1147.41	$259.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$911.00	$134.56
77012 Review by radiologist of ct guidance for needle placement	36	35	$850.00	$71.35
61783 Computer-assisted spinal procedure	28	27	$1165.00	$233.92
22842 Placement of stabilizing device to back, 3-6 spine bone segments	28	27	$7003.70	$767.18
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$9115.00	$1877.18
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	19	13	$2780.45	$499.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$1155.78	$225.68
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	17	17	$3750.00	$260.19
22612 Fusion of spine in lower back	16	15	$8700.00	$1513.60
61781 Computer-assisted procedure inside brain	11	11	$1700.00	$235.50
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$8500.00	$1731.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	177	131	$744.20	$182.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	117	117	$1157.36	$226.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	72	$551.71	$132.35
22614 Fusion of additional segment of spine	64	22	$2049.29	$400.82
77012 Review by radiologist of ct guidance for needle placement	29	29	$850.00	$73.13
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	29	19	$1147.41	$264.87
61783 Computer-assisted spinal procedure	24	24	$1165.00	$237.29
22612 Fusion of spine in lower back	23	23	$8700.00	$1353.05
20931 Donor bone graft for spine surgery	18	18	$550.75	$113.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$911.00	$131.10
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	18	$4182.42	$745.62
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$8500.00	$1754.43
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	17	13	$7470.93	$509.90
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$7003.70	$781.17
63056 Release of lower spinal cord and/or nerves	16	16	$7542.10	$960.90
62323 Injection of substance into lower spine canal using imaging guidance	14	12	$763.50	$101.61
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	12	12	$7132.68	$1867.70
61781 Computer-assisted procedure inside brain	12	12	$1700.00	$240.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	148	120	$742.31	$149.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	147	147	$1159.54	$212.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	62	$547.92	$107.66
22614 Fusion of additional segment of spine	61	19	$2049.29	$415.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$911.00	$141.98
77012 Review by radiologist of ct guidance for needle placement	27	26	$850.00	$76.51
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	15	$1147.41	$274.46
22612 Fusion of spine in lower back	24	23	$8700.00	$1472.32
61783 Computer-assisted spinal procedure	23	22	$1165.00	$247.07
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	23	11	$3050.00	$421.19
63056 Release of lower spinal cord and/or nerves	21	21	$7542.10	$1087.91
20931 Donor bone graft for spine surgery	17	17	$550.75	$117.55
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	17	17	$7132.68	$1663.36
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	16	$7003.70	$810.41
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$8500.00	$1750.69
69990 Use of operating microscope	14	14	$1223.88	$229.99
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$4182.42	$773.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	172	133	$739.50	$148.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	147	147	$1155.78	$210.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	81	$549.94	$111.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	90	$911.00	$140.63
22614 Fusion of additional segment of spine	89	34	$2049.29	$421.17
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	50	26	$1147.41	$278.44
77012 Review by radiologist of ct guidance for needle placement	49	45	$850.00	$76.37
22612 Fusion of spine in lower back	38	36	$8700.00	$1405.07
61783 Computer-assisted spinal procedure	35	35	$1165.00	$251.38
22842 Placement of stabilizing device to back, 3-6 spine bone segments	29	28	$7003.70	$823.19
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	27	15	$3050.00	$429.70
63056 Release of lower spinal cord and/or nerves	26	26	$7542.10	$982.15
63057 Release of middle or lower spinal cord and/or nerves	23	14	$4119.77	$343.77
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	18	$8500.00	$1783.38
20931 Donor bone graft for spine surgery	18	17	$550.75	$120.43
22845 Placement of stabilizing device to front, 2-3 spine bone segments	16	14	$4182.42	$787.22
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	16	15	$7132.68	$1991.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$873.96	$168.86
61312 Aspiration of blood accumulation in brain	14	11	$5517.60	$2012.61
69990 Use of operating microscope	11	11	$1223.88	$237.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	173	135	$741.91	$146.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	162	162	$1156.92	$209.89
22614 Fusion of additional segment of spine	118	43	$2049.29	$409.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	117	$913.01	$139.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	100	46	$1147.41	$264.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	61	$547.92	$108.37
77012 Review by radiologist of ct guidance for needle placement	58	55	$850.00	$58.60
61783 Computer-assisted spinal procedure	56	54	$1165.00	$248.83
63056 Release of lower spinal cord and/or nerves	54	52	$7542.10	$926.34
63057 Release of middle or lower spinal cord and/or nerves	53	28	$4119.77	$340.91
22612 Fusion of spine in lower back	50	48	$8700.00	$1626.36
22842 Placement of stabilizing device to back, 3-6 spine bone segments	43	42	$7003.70	$813.08
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	36	17	$3050.00	$424.63
20931 Donor bone graft for spine surgery	19	19	$550.75	$119.39
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	19	$8500.00	$1812.01
61312 Aspiration of blood accumulation in brain	15	11	$5517.60	$2073.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$873.96	$168.39
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$4182.42	$778.77
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$7950.00	$809.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	149	126	$739.50	$142.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	83	$547.92	$104.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	102	102	$1155.78	$201.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	81	$911.00	$134.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	74	35	$1025.79	$269.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$873.96	$161.91
22614 Fusion of additional segment of spine	51	23	$2049.29	$403.67
63056 Release of lower spinal cord and/or nerves	36	35	$7542.10	$1013.70
77012 Review by radiologist of ct guidance for needle placement	35	35	$850.00	$56.72
61783 Computer-assisted spinal procedure	29	29	$1165.00	$240.83
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$7003.70	$786.42
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	22	14	$3050.00	$411.36
63057 Release of middle or lower spinal cord and/or nerves	21	13	$4119.77	$329.79
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$8500.00	$1756.19
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	18	$4182.42	$754.28
22612 Fusion of spine in lower back	18	18	$8700.00	$1441.36
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$812.85	$100.09
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$364.80	$71.88
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$9115.00	$1502.76
20610 Aspiration and/or injection of fluid from large joint	12	11	$207.00	$75.22
20931 Donor bone graft for spine surgery	12	12	$550.75	$115.95

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License DE C1-0002708

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0000098001 (DE)

Hospital & Practice Group Affiliations

Agape Physical Therapy And Sports Rehabilitation Lp

12 Newport Dr, Forest Hill, MD 210501758

Agape Physical Therapy And Sports Rehabilitation Lp

12 Newport Dr, Forest Hill, MD 210501758

Delaware Neurosurgical Group, Pa

774 Christiana Rd, Newark, DE 197134221

Phone: 3023667671

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Pawan Rastogi , MD

Neurological Surgery

NPI 1073611968

Doctor of Medicine (M.D.)

Dr. Paul Boulos , MD

Neurological Surgery

NPI 1083620942

Doctor of Medicine (M.D.)

Erica Steinmetz

Physician Assistant

NPI 1144058355

Dr. Magdy Boulos , MD

Neurological Surgery

NPI 1164520037

Doctor of Medicine (M.D.)

Dr. Tony Anene-Maidoh , MD

Neurological Surgery

NPI 1174818850

Doctor of Medicine (M.D.)

Dr. Kennedy Yalamanchili , MD

Specialist

NPI 1205825932

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2013

Registered at 774 CHRISTIANA RD, SUITE 202, NEWARK, DE 197134236 (Tel: 3023667671)

📍

Updated Business Mailing Address December 03, 2013

Registered at 774 CHRISTIANA RD, SUITE 202, NEWARK, DE 197134236 (Tel: 3023667671)

👤

Provider Name / Credentials Updated December 03, 2013

Recorded as MICHAEL SUGARMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2013

Specialist (License #C1-0002708 in DE)

🟢

Initial NPI Registration & Enumeration October 15, 2005

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: 1225027956

Entity Type:

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

Enumeration Date: October 15, 2005

Last Update: December 03, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

774 Christiana Rd, Suite 202

Newark, DE 197134236

Phone: 3023667671

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.