Active NPI 1366744831 Individual Practitioner Male Practitioner

Dr. Grayson Sugarman , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Grayson Sugarman, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 16 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2010, Dr. Sugarman delivers high-quality medical care to the local community at 3805 EDWARDS RD.

Dr. Sugarman maintains professional affiliations with Kentucky Rehabilitation Services, Inc., John J. Zerbe, M.D. General Internal Medicine Inc, Oxford Physical Therapy And Rehabilitation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual depression screening, 5 to, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3805 Edwards Rd
Suite 350

Cincinnati, OH 452091900

Telephone 5133210833

Fax 5133216063

Associated Practice Facility / Clinic

🏢 Alliance Primary Care Facility NPI 1073784765

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -6.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

25.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sugarman (16 Years) 16 Yrs

Cincinnati Specialty Average (22.3 Years) 22.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	57	$150.30	$120.99
99213 Established patient office or other outpatient visit, typically 15 minutes	47	30	$75.00	$74.13
G0444 Annual depression screening, 5 to 15 minutes	40	40	$125.00	$17.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$138.82	$121.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$175.00	$158.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	37	$148.87	$121.71
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$75.00	$73.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$137.00	$122.52
G0444 Annual depression screening, 5 to 15 minutes	20	20	$125.00	$17.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	238	$159.85	$91.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	134	134	$167.77	$9.07
G0444 Annual depression screening, 5 to 15 minutes	117	117	$26.00	$17.46
99213 Established patient office or other outpatient visit, typically 15 minutes	106	84	$109.67	$65.29
G0008 Administration of influenza virus vaccine	41	41	$40.00	$27.96
90662 Influenza vaccine split virus, preservative free	39	39	$100.00	$68.46
G0009 Administration of pneumococcal vaccine	29	29	$40.00	$28.13
93000 Routine ekg using at least 12 leads including interpretation and report	27	24	$25.00	$13.80
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$500.00	$278.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	433	222	$160.00	$97.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	145	145	$168.00	$128.66
G0444 Annual depression screening, 5 to 15 minutes	121	121	$26.00	$17.81
99213 Established patient office or other outpatient visit, typically 15 minutes	102	74	$110.00	$66.74
G0008 Administration of influenza virus vaccine	45	44	$40.00	$16.18
90662 Influenza vaccine split virus, preservative free	44	43	$100.00	$64.77
93000 Routine ekg using at least 12 leads including interpretation and report	35	32	$25.00	$14.34
G0009 Administration of pneumococcal vaccine	20	20	$40.00	$16.16
81002 Urinalysis, manual test	13	12	$5.00	$3.48
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$242.00	$163.67
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$25.00	$14.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	213	$160.00	$82.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$166.57	$111.90
99213 Established patient office or other outpatient visit, typically 15 minutes	120	84	$110.00	$56.41
G0444 Annual depression screening, 5 to 15 minutes	109	109	$27.83	$17.37
G0008 Administration of influenza virus vaccine	63	62	$40.00	$16.05
90662 Influenza vaccine split virus, preservative free	60	60	$100.00	$60.98
93000 Routine ekg using at least 12 leads including interpretation and report	26	23	$33.65	$16.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	11	$24.00	$13.74
G0009 Administration of pneumococcal vaccine	17	17	$40.00	$15.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$241.14	$161.14
81002 Urinalysis, manual test	12	11	$10.42	$3.47
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$31.00	$16.45
90670 Pneumococcal vaccine for injection into muscle	11	11	$323.27	$219.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	483	235	$160.00	$78.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$165.00	$110.94
99213 Established patient office or other outpatient visit, typically 15 minutes	144	98	$110.00	$55.82
G0444 Annual depression screening, 5 to 15 minutes	144	144	$30.00	$17.07
G0008 Administration of influenza virus vaccine	81	79	$40.00	$15.75
90653 Vaccine for influenza for injection into muscle	70	70	$115.00	$58.34
G0009 Administration of pneumococcal vaccine	30	30	$40.00	$15.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	11	$32.57	$15.83
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$40.00	$16.18
90670 Pneumococcal vaccine for injection into muscle	18	18	$260.00	$208.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$240.00	$158.35
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$37.00	$16.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$120.00	$110.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	459	215	$160.00	$87.64
99213 Established patient office or other outpatient visit, typically 15 minutes	145	96	$110.00	$59.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$165.00	$111.79
G0444 Annual depression screening, 5 to 15 minutes	105	105	$30.00	$17.06
G0008 Administration of influenza virus vaccine	88	87	$40.00	$19.30
90662 Influenza vaccine split virus, preservative free	83	82	$110.66	$51.99
93000 Routine ekg using at least 12 leads including interpretation and report	32	31	$40.00	$16.19
G0009 Administration of pneumococcal vaccine	28	27	$40.00	$19.29
81002 Urinalysis, manual test	14	13	$18.00	$3.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	13	$120.00	$105.59
90670 Pneumococcal vaccine for injection into muscle	14	14	$260.00	$197.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$240.00	$160.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$250.00	$165.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	529	221	$160.00	$98.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$165.00	$110.51
G0008 Administration of influenza virus vaccine	86	83	$37.97	$23.76
90662 Influenza vaccine split virus, preservative free	84	81	$55.00	$47.39
G0444 Annual depression screening, 5 to 15 minutes	81	81	$30.00	$17.01
99213 Established patient office or other outpatient visit, typically 15 minutes	77	57	$110.00	$67.02
G0009 Administration of pneumococcal vaccine	34	34	$40.00	$23.76
93000 Routine ekg using at least 12 leads including interpretation and report	23	20	$40.00	$16.13
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$120.00	$95.28
90670 Pneumococcal vaccine for injection into muscle	12	12	$260.00	$185.01

Medical Specialties & State Licenses

CMS Verified: 2020-10-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.121366

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0089344 (OH)

Hospital & Practice Group Affiliations

John J. Zerbe, M.d. General Internal Medicine Inc

5400 Kennedy Ave, Cincinnati, OH 452132664

Phone: 5134583685

Sugarman And Rozzo Internal Medicine Llc

5400 Kennedy Ave, Cincinnati, OH 452132665

Phone: 5134583685

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

Kentucky Rehabilitation Services, Inc.

580 Buttermilk Pike, Crescent Springs, KY 410171635

Phone: 8593416654

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. David Fisher , MD

Internal Medicine

NPI 1073691440

Doctor of Medicine (M.D.)

Dr. Warren Webster , MD

Internal Medicine

NPI 1124053988

Doctor of Medicine (M.D.)

Dr. Grady Campbell , MD

Internal Medicine

NPI 1487689220

Doctor of Medicine (M.D.)

Jessica Fornash , APRN

Nurse Practitioner - Family

NPI 1598336364

Advanced Practice Registered Nurse

Dr. Michael Maeder , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1730114588

Doctor of Medicine (M.D.)

Karen Webster , CNP

Nurse Practitioner

NPI 1962533091

Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2016

Registered at 3805 EDWARDS RD, SUITE 350, CINCINNATI, OH 452091900 (Tel: 5133210833)

📍

Updated Business Mailing Address November 18, 2016

Registered at 3805 EDWARDS RD, SUITE 350, CINCINNATI, OH 452091900 (Tel: 5133210833)

👤

Provider Name / Credentials Updated November 18, 2016

Recorded as GRAYSON SUGARMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2016

Internal Medicine (License #35.121366 in OH)

🟢

Initial NPI Registration & Enumeration December 03, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366744831

Entity Type:

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

Enumeration Date: December 03, 2010

Last Update: October 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3805 Edwards Rd, Suite 350

Cincinnati, OH 452091900

Phone: 5133210833

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.