Active NPI 1093764037 Individual Practitioner Male Practitioner

Dr. Mark Sean Sumida , MD

Orthopaedic Surgery • Hixson, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sumida, MD is a certified Orthopaedic Surgery practicing in Hixson, TN. With approximately 38 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1988, Dr. Sumida delivers high-quality medical care to the local community at 1724 HAMILL ROAD SUITE 204.

Dr. Sumida is affiliated with Advanced Diagnostic Imaging Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1724 Hamill Road Suite 204

Hixson, TN 37343

Telephone 4238774705

Fax 4238779970

Associated Practice Facility / Clinic

🏢 Mark S. Sumida, Md, Pc Facility NPI 1417120270

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hixson, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs Matches City Avg

City Avg: 38.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Hixson, TN (509 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumida (38 Years) 38 Yrs

Hixson Specialty Average (38.0 Years) 38.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	2,201	23	$0.61	$0.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,968	184	$8.04	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	492	271	$212.37	$83.08
20610 Aspiration and/or injection of fluid from large joint	389	177	$333.30	$64.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	205	$309.27	$116.62
73562 X-ray of knee, 3 views	252	172	$171.64	$36.32
73030 X-ray of shoulder, minimum of 2 views	104	79	$141.21	$31.14
73630 X-ray of foot, minimum of 3 views	90	52	$140.11	$30.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$467.52	$151.12
73610 X-ray of ankle, minimum of 3 views	48	29	$147.37	$31.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$304.65	$101.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	35	$416.37	$163.11
73502 X-ray of hip, 2-3 views	39	31	$187.43	$40.29
20605 Aspiration and/or injection of medium joint or joint capsule	20	13	$222.75	$46.29
27447 Replacement of knee joint, both sides of knee	15	15	$6909.12	$1186.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,225	234	$8.04	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	566	314	$212.34	$83.28
20610 Aspiration and/or injection of fluid from large joint	428	213	$316.70	$63.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	394	246	$308.98	$117.46
73562 X-ray of knee, 3 views	296	212	$181.63	$36.56
73030 X-ray of shoulder, minimum of 2 views	137	103	$146.12	$31.43
73630 X-ray of foot, minimum of 3 views	103	69	$148.75	$31.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$467.47	$152.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	72	$416.37	$164.11
73502 X-ray of hip, 2-3 views	78	60	$187.43	$42.03
73610 X-ray of ankle, minimum of 3 views	69	37	$148.39	$31.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$308.28	$102.94
73110 X-ray of wrist, minimum of 3 views	32	22	$165.27	$37.07
20600 Aspiration and/or injection of fluid from small joint	27	16	$279.33	$52.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$591.45	$196.83
73130 X-ray of hand, minimum of 3 views	23	20	$168.87	$33.53
73080 X-ray of elbow, minimum of 3 views	22	19	$128.34	$29.57
J1030 Injection, methylprednisolone acetate, 40 mg	20	17	$24.62	$7.66
20605 Aspiration and/or injection of medium joint or joint capsule	19	15	$234.47	$51.67
27447 Replacement of knee joint, both sides of knee	18	16	$6799.16	$1195.55
73140 X-ray of finger, minimum of 2 views	18	13	$116.11	$32.92
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$158.31	$36.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,844	193	$8.04	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	249	$303.16	$120.33
99213 Established patient office or other outpatient visit, typically 15 minutes	378	249	$211.14	$85.18
73562 X-ray of knee, 3 views	231	170	$194.68	$38.16
20610 Aspiration and/or injection of fluid from large joint	214	159	$372.92	$64.60
73630 X-ray of foot, minimum of 3 views	115	80	$157.38	$32.29
73030 X-ray of shoulder, minimum of 2 views	99	77	$144.13	$32.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	65	$409.68	$168.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$465.33	$158.11
73610 X-ray of ankle, minimum of 3 views	51	37	$152.58	$33.01
73502 X-ray of hip, 2-3 views	42	35	$170.37	$43.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$456.98	$105.48
73501 X-ray of hip with pelvis, 1 view	26	24	$123.39	$30.32
27447 Replacement of knee joint, both sides of knee	19	18	$7159.12	$1257.50
73130 X-ray of hand, minimum of 3 views	19	17	$159.23	$34.09
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	$584.46	$208.93
20600 Aspiration and/or injection of fluid from small joint	17	14	$293.62	$54.40
20605 Aspiration and/or injection of medium joint or joint capsule	15	13	$263.14	$49.99
73080 X-ray of elbow, minimum of 3 views	12	11	$146.21	$30.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,748	206	$8.04	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	583	318	$211.14	$85.94
20610 Aspiration and/or injection of fluid from large joint	321	185	$395.31	$65.88
73562 X-ray of knee, 3 views	289	183	$184.34	$37.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	179	$303.41	$122.80
73630 X-ray of foot, minimum of 3 views	125	75	$149.14	$31.60
73030 X-ray of shoulder, minimum of 2 views	101	83	$146.51	$31.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$465.33	$156.73
73502 X-ray of hip, 2-3 views	83	56	$178.58	$43.26
73610 X-ray of ankle, minimum of 3 views	72	43	$140.89	$32.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$456.98	$105.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	36	$409.68	$172.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	30	23	$467.41	$100.99
73110 X-ray of wrist, minimum of 3 views	28	16	$156.33	$37.42
20600 Aspiration and/or injection of fluid from small joint	27	16	$277.31	$51.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$127.23	$53.02
20605 Aspiration and/or injection of medium joint or joint capsule	21	14	$281.93	$48.50
73130 X-ray of hand, minimum of 3 views	19	15	$152.00	$33.65
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$174.38	$37.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$584.46	$211.05
27447 Replacement of knee joint, both sides of knee	13	13	$7473.81	$1273.77
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	12	12	$129.73	$53.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,712	185	$4.43	$1.46
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,020	11	$21.37	$17.23
99213 Established patient office or other outpatient visit, typically 15 minutes	556	316	$147.81	$70.83
20610 Aspiration and/or injection of fluid from large joint	308	166	$239.35	$65.04
73562 X-ray of knee, 3 views	214	146	$98.15	$36.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	149	109	$87.13	$42.59
73630 X-ray of foot, minimum of 3 views	141	85	$81.24	$29.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$226.19	$101.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	92	$217.01	$102.48
73030 X-ray of shoulder, minimum of 2 views	80	61	$80.72	$30.74
73502 X-ray of hip, 2-3 views	79	59	$113.27	$40.63
73610 X-ray of ankle, minimum of 3 views	75	49	$88.73	$32.37
73565 X-ray of both knees while standing	61	54	$90.00	$35.86
73110 X-ray of wrist, minimum of 3 views	44	15	$92.19	$35.98
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	33	23	$291.07	$100.80
72170 X-ray of pelvis, 1-2 views	31	27	$65.00	$25.71
20605 Aspiration and/or injection of medium joint or joint capsule	28	14	$166.68	$45.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$315.93	$157.42
20600 Aspiration and/or injection of fluid from small joint	24	15	$187.48	$52.25
72100 X-ray of lower and sacral spine, 2-3 views	22	21	$100.40	$33.97
73130 X-ray of hand, minimum of 3 views	21	18	$89.36	$29.76
27447 Replacement of knee joint, both sides of knee	17	17	$3728.12	$1374.51
J1030 Injection, methylprednisolone acetate, 40 mg	15	12	$22.13	$6.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,140	150	$5.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	507	298	$133.00	$69.14
20610 Aspiration and/or injection of fluid from large joint	224	137	$218.00	$62.33
73562 X-ray of knee, 3 views	208	176	$105.00	$34.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	151	116	$80.00	$41.46
73630 X-ray of foot, minimum of 3 views	127	77	$91.00	$27.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$197.00	$99.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	71	$197.00	$101.35
73030 X-ray of shoulder, minimum of 2 views	65	49	$89.00	$27.72
73610 X-ray of ankle, minimum of 3 views	53	34	$93.00	$30.57
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	40	33	$254.00	$100.75
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	39	24	$2966.00	$1047.82
73501 X-ray of hip with pelvis, 1 view	31	30	$83.00	$27.73
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$187.00	$93.55
73502 X-ray of hip, 2-3 views	23	18	$114.00	$38.19
27447 Replacement of knee joint, both sides of knee	18	18	$4319.00	$1456.12
20600 Aspiration and/or injection of fluid from small joint	17	11	$152.00	$45.64
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$117.00	$33.62
73130 X-ray of hand, minimum of 3 views	13	11	$92.00	$30.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	535	154	$5.00	$1.74
99213 Established patient office or other outpatient visit, typically 15 minutes	525	303	$133.00	$66.00
20610 Aspiration and/or injection of fluid from large joint	237	142	$218.00	$60.19
73562 X-ray of knee, 3 views	198	154	$115.08	$32.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	93	$80.00	$38.90
73630 X-ray of foot, minimum of 3 views	105	65	$92.73	$24.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	88	$197.00	$96.67
73030 X-ray of shoulder, minimum of 2 views	74	61	$91.41	$26.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$197.00	$96.55
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	50	37	$254.00	$90.76
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	45	28	$2966.00	$801.55
73610 X-ray of ankle, minimum of 3 views	44	29	$93.00	$27.93
73502 X-ray of hip, 2-3 views	35	23	$114.00	$36.73
73501 X-ray of hip with pelvis, 1 view	28	27	$83.00	$26.68
20600 Aspiration and/or injection of fluid from small joint	25	15	$152.00	$39.43
27447 Replacement of knee joint, both sides of knee	19	19	$4319.00	$1294.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$303.00	$142.97
73130 X-ray of hand, minimum of 3 views	13	12	$92.00	$28.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,226	28	$32.08	$12.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,145	175	$5.88	$1.76
99213 Established patient office or other outpatient visit, typically 15 minutes	582	322	$120.35	$66.83
20610 Aspiration and/or injection of fluid from large joint	318	164	$248.13	$62.94
73562 X-ray of knee, 3 views	253	189	$118.88	$33.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	128	$78.28	$39.08
73630 X-ray of foot, minimum of 3 views	117	75	$105.56	$25.23
73030 X-ray of shoulder, minimum of 2 views	102	79	$113.90	$26.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$182.15	$97.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	67	$187.24	$97.80
73610 X-ray of ankle, minimum of 3 views	47	31	$113.87	$30.28
73110 X-ray of wrist, minimum of 3 views	38	17	$110.79	$30.72
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	38	32	$296.21	$91.84
73502 X-ray of hip, 2-3 views	31	24	$118.39	$36.33
72170 X-ray of pelvis, 1-2 views	31	22	$108.42	$27.60
J1040 Injection, methylprednisolone acetate, 80 mg	20	12	$24.00	$11.10
73130 X-ray of hand, minimum of 3 views	19	17	$111.79	$28.98
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$125.26	$67.46
73501 X-ray of hip with pelvis, 1 view	19	19	$86.00	$26.92
73565 X-ray of both knees while standing	17	17	$97.00	$32.40
20605 Aspiration and/or injection of medium joint or joint capsule	17	16	$172.65	$44.99
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$132.00	$31.17
27447 Replacement of knee joint, both sides of knee	12	12	$8198.67	$1382.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$281.33	$151.56

Medical Specialties & State Licenses

CMS Verified: 2023-02-20

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 20177

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.

Hospital & Practice Group Affiliations

Advanced Diagnostic Imaging Pc

3024 Business Park Cir, Goodlettsville, TN 370723132

Phone: 6158516033

Practice Associates & Co-Workers

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

4 Associated Practitioners

Kurt Pulver , PA

Physician Assistant

NPI 1558367045

Physician Assistant

Dr. Dedre Sumida , MD

Pediatrics

NPI 1629493713

Doctor of Medicine (M.D.)

Dr. Kurt Chambless , MD

Orthopaedic Surgery

NPI 1821284282

Doctor of Medicine (M.D.)

Dr. William Reisman , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1891971610

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address February 20, 2023

Registered at 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 370723132 (Tel: 6152392018)

✅

NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 06, 2017

Registered at 1724 HAMILL ROAD SUITE 204, HIXSON, TN 37343 (Tel: 4238774705)

📍

Updated Business Mailing Address June 06, 2017

Registered at 1724 HAMILL ROAD SUITE 204, HIXSON, TN 37343 (Tel: 4238774705)

👤

Provider Name / Credentials Updated June 06, 2017

Recorded as MARK SUMIDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Orthopaedic Surgery (License #20177 in TN)

✅

NPI Profile Active January 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2015

Registered at 1724 HAMILL ROAD SUITE 204, HIXSON, TN 37343 (Tel: 4238774705)

📍

Updated Business Mailing Address January 06, 2015

Registered at 1724 HAMILL ROAD SUITE 204, HIXSON, TN 37343 (Tel: 4238774705)

👤

Provider Name / Credentials Updated January 06, 2015

Recorded as MARK SUMIDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2015

Orthopaedic Surgery (License #20177 in TN)

🟢

Initial NPI Registration & Enumeration May 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Mark Sumida. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093764037

Entity Type:

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

Enumeration Date: May 08, 2006

Last Update: February 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3024 Business Park Cir

Goodlettsville, TN 370723132

Phone: 6152392018

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.