Active NPI 1811176332 Individual Practitioner Male Practitioner

Dr. Gainosuke Sugiyama , MD

Surgery • Brooklyn, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gainosuke Sugiyama, MD is a certified Surgery practicing in Brooklyn, NY. With approximately 21 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 2005, Dr. Sugiyama delivers high-quality medical care to the local community at 450 CLARKSON AVE.

Dr. Sugiyama is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

450 Clarkson Ave

Brooklyn, NY 112032012

Telephone 7182701421

Associated Practice Facility / Clinic

🏢 University Physicians Of Brooklyn, Inc Facility NPI 1104878180

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brooklyn, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -5.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

216 Specialists

Practicing in Brooklyn, NY (2269 Statewide)

Telehealth Adoption Rate

4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sugiyama (21 Years) 21 Yrs

Brooklyn Specialty Average (26.7 Years) 26.7 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$622.00	$129.86
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$494.00	$105.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$622.00	$133.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$917.00	$189.66
49650 Repair of groin hernia using an endoscope	17	17	$3901.47	$650.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$313.00	$66.97

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	36	36	$917.00	$198.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$622.00	$138.22
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$494.00	$110.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$313.00	$69.47
49650 Repair of groin hernia using an endoscope	15	15	$3891.07	$706.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$689.00	$153.32

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	26	26	$736.00	$205.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$199.00	$68.58
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$332.00	$90.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$492.00	$138.48
49650 Repair of groin hernia using an endoscope	13	13	$2465.23	$625.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$332.00	$92.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$199.00	$53.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$332.00	$90.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$199.00	$52.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	15	$111.00	$26.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$332.00	$87.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$111.00	$25.33

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 247564

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.

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

900 Franklin Ave, Valley Stream, NY 115802145

Phone: 5162566000

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Iqra Nadeem , MD

Student in an Organized Health Care Education/Training Program

NPI 1053169193

Doctor of Medicine (M.D.)

Dr. Irina Kovatch , MD

Surgery

NPI 1053567164

Doctor of Medicine (M.D.)

Dr. Svetlana Kleyman , MD

Student in an Organized Health Care Education/Training Program

NPI 1073834776

Doctor of Medicine (M.D.)

Dr. Christopher Demaree , MD, MS

Surgery - Surgical Critical Care

NPI 1225693823

Doctor of Medicine (M.D.), Master of Science

Dr. Michael Homsy , MD, CM

Student in an Organized Health Care Education/Training Program

NPI 1245895994

Doctor of Medicine (M.D.), CM

Dr. Michael Chen , MD

Student in an Organized Health Care Education/Training Program

NPI 1255837670

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 October 08, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2010

Registered at 450 CLARKSON AVE, BROOKLYN, NY 112032012 (Tel: 7182701421)

📍

Updated Business Mailing Address October 08, 2010

Registered at 450 CLARKSON AVE, BROOKLYN, NY 112032012 (Tel: 7182701421)

👤

Provider Name / Credentials Updated October 08, 2010

Recorded as GAINOSUKE SUGIYAMA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2010

Surgery (License #247564 in NY)

🟢

Initial NPI Registration & Enumeration November 01, 2007

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: 1811176332

Entity Type:

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

Enumeration Date: November 01, 2007

Last Update: October 08, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

450 Clarkson Ave

Brooklyn, NY 112032012

Phone: 7182701421

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.