Active NPI 1235426610 Individual Practitioner Male Practitioner

Dr. Etan P Sugarman , MD

Orthopaedic Surgery • Des Plaines, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Etan Sugarman, MD is a certified Orthopaedic Surgery practicing in Des Plaines, IL. With approximately 15 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 2011, Dr. Sugarman delivers high-quality medical care to the local community at 999 E TOUHY AVE STE 450.

Dr. Sugarman is affiliated with American Hip Institute Llc 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, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

999 E Touhy Ave Ste 450

Des Plaines, IL 600182748

Telephone 8338724477

Fax 6303235625

Associated Practice Facility / Clinic

🏢 American Hip Institute, Llc Facility NPI 1285101808

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Des Plaines, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -6.9 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

14 Specialists

Practicing in Des Plaines, IL (1064 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sugarman (15 Years) 15 Yrs

Des Plaines Specialty Average (21.9 Years) 21.9 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	93	13	$6.00	$1.00
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$703.64	$102.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$769.06	$137.67
20610 Aspiration and/or injection of fluid from large joint	23	16	$777.65	$89.20
73564 X-ray of knee, 4 or more views	14	12	$392.14	$69.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$898.00	$127.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	200	31	$6.00	$1.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$740.17	$145.99
20610 Aspiration and/or injection of fluid from large joint	45	27	$584.38	$89.76
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$554.50	$103.40
73564 X-ray of knee, 4 or more views	37	37	$321.95	$77.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$666.52	$130.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	17	$633.95	$124.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$1007.67	$191.11
73030 X-ray of shoulder, minimum of 2 views	18	16	$238.00	$47.92
72170 X-ray of pelvis, 1-2 views	12	12	$164.83	$33.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	182	27	$6.00	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$493.43	$104.38
20610 Aspiration and/or injection of fluid from large joint	59	31	$502.12	$92.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	43	$689.00	$147.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$622.00	$133.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$917.00	$198.19
73564 X-ray of knee, 4 or more views	22	19	$220.59	$55.08
73030 X-ray of shoulder, minimum of 2 views	19	17	$187.37	$44.69
72170 X-ray of pelvis, 1-2 views	15	13	$159.00	$34.23
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	15	13	$610.80	$133.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	169	33	$6.00	$1.27
20610 Aspiration and/or injection of fluid from large joint	55	33	$511.36	$91.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	40	$475.00	$153.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$736.00	$194.89
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$383.00	$108.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$492.00	$134.47
73564 X-ray of knee, 4 or more views	14	14	$271.29	$72.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	161	34	$6.00	$1.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	39	$475.00	$127.69
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$383.00	$88.50
20610 Aspiration and/or injection of fluid from large joint	30	18	$412.50	$79.54
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	28	23	$563.54	$119.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$736.00	$193.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$492.00	$123.18
73564 X-ray of knee, 4 or more views	13	13	$308.38	$77.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	95	33	$6.00	$1.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	48	$475.00	$122.96
99213 Established patient office or other outpatient visit, typically 15 minutes	53	43	$383.00	$84.22
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	40	25	$509.00	$106.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$736.00	$186.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$492.00	$123.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	19	$6.00	$1.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$736.00	$186.99
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$383.00	$82.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$475.00	$121.92
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	13	$509.00	$105.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$492.00	$123.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	12	$736.00	$185.49

Medical Specialties & State Licenses

CMS Verified: 2024-06-10

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036.168642

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License NY 289302

Hospital & Practice Group Affiliations

American Hip Institute Llc

9615 Keilman St, Saint John, IN 463739406

Phone: 6309202323

American Hip Institute Llc

8400 Lakeview Pkwy, Pleasant Prairie, WI 531585819

Phone: 8338724477

American Hip Institute Llc

999 E Touhy Ave, Des Plaines, IL 600182748

Phone: 6309202323

Secondary Practice Locations

200 West 13th Street, 6th Floor

New York, NY 10011

Phone: 6466656784

Practice Associates & Co-Workers

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

13 Associated Practitioners

Abigail Roberts , PA-C

Physician Assistant

NPI 1033902986

Physician Assistant (Certified)

Michael Sarris , PA

Physician Assistant

NPI 1104453752

Physician Assistant

Nils Becker

Specialist/Technologist, Other - Surgical Assistant

NPI 1144053356

Dr. Benjamin Domb , MD

Orthopaedic Surgery - Sports Medicine

NPI 1154454635

Doctor of Medicine (M.D.)

Dr. Mitchell Meghpara , MD

Orthopaedic Surgery

NPI 1295178465

Doctor of Medicine (M.D.)

Philip Rosinsky , SA

Specialist/Technologist, Other - Surgical Assistant

NPI 1376048074

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location June 10, 2024

Registered at 999 E TOUHY AVE STE 450, DES PLAINES, IL 600182748 (Tel: 8338724477)

📍

Updated Business Mailing Address June 10, 2024

Registered at 999 E TOUHY AVE STE 450, DES PLAINES, IL 600182748 (Tel: 8338724477)

📍

Updated Practice Location March 08, 2019

Registered at 200 WEST 13TH STREET, 6TH FLOOR, NEW YORK, NY 10011 (Tel: 6466656784)

📍

Updated Business Mailing Address March 08, 2019

Registered at 200 WEST 13TH STREET, 6TH FLOOR, NEW YORK, NY 10011 (Tel: 6466656784)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2019

Orthopaedic Surgery (License #289302 in NY)

✅

NPI Profile Active March 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 08, 2016

Registered at 1250 WATERS PL, 11TH FLOOR, BRONX, NY 104612720 (Tel: 7189202060)

📍

Updated Business Mailing Address March 08, 2016

Registered at 1250 WATERS PL, 11TH FLOOR, BRONX, NY 104612720

👤

Provider Name / Credentials Updated March 08, 2016

Recorded as ETAN SUGARMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235426610

Entity Type:

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

Enumeration Date: July 06, 2011

Last Update: June 10, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

999 E Touhy Ave Ste 450

Des Plaines, IL 600182748

Phone: 8338724477

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.