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Active NPI 1578579595 Individual Practitioner Male Practitioner

Dr. Ted Sugimoto , MD

Surgery • Saint Joseph, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ted Sugimoto, MD is a registered healthcare professional specializing in Surgery in Saint Joseph, MI. Practice services are available at 3950 HOLLYWOOD RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3950 Hollywood Rd
Suite 100

Saint Joseph, MI 490859159

Telephone 2694290900
Fax 2694080996
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saint Joseph, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Saint Joseph, MI (1479 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
114 67 $145.27 $50.14
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
112 22 $401.46 $95.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
91 46 $222.34 $76.26
11042 Removal of skin and tissue, 20.0 sq cm or less
90 46 $308.50 $61.34
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
74 30 $377.03 $84.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
45 33 $87.71 $25.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
25 25 $330.28 $127.71
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
24 16 $50.17 $9.12
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)
17 17 $924.53 $225.96
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
17 16 $1080.06 $257.89
97597 Removal of tissue from wound, 20.0 sq cm or less
16 15 $191.94 $23.95
11055 Removal of single thickened skin growth
14 13 $125.57 $15.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
11 11 $431.18 $166.63

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301041051

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License MI 4301041051

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.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Lyndsey Olson , PA

Physician Assistant

NPI 1083152680

Physician Assistant

NPI 1104272228

Doctor of Medicine (M.D.)

NPI 1235589227

Doctor of Osteopathic Medicine (D.O.)

NPI 1255628822

Doctor of Osteopathic Medicine (D.O.)

NPI 1265421143

Doctor of Medicine (M.D.)

Hillary Edgerly , NP

Nurse Practitioner

NPI 1386376002

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Surgery (License #4301041051 in MI)

NPI Profile Active April 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2012

Registered at 3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 490859159 (Tel: 2694290900)

📍
Updated Business Mailing Address April 20, 2012

Registered at 6416 DEANS HILL RD, BERRIEN CENTER, MI 491029750 (Tel: 2694717741)

👤
Provider Name / Credentials Updated April 20, 2012

Recorded as TED SUGIMOTO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2012

Specialist (License #4301041051 in MI)

🟢
Initial NPI Registration & Enumeration July 31, 2006

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: 1578579595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

6416 Deans Hill Rd

Berrien Center, MI 491029750

Phone: 2694717741

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.