Active NPI 1609987270 Individual Practitioner Male Practitioner

Dr. Michael H Sumko , DO

Orthopaedic Surgery • Brigham City, UT

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sumko, DO is a registered healthcare professional specializing in Orthopaedic Surgery in Brigham City, UT. Practice services are available at 990 MEDICAL DR under active NPI credentials.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis, injection, methylprednisolone acetate, 40 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

990 Medical Dr
Suite G5

Brigham City, UT 843024713

Telephone 4357342151

Fax 4357342192

Associated Practice Facility / Clinic

🏢 Vision Experts Inc Facility NPI 1104924836

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Brigham City, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.3 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Brigham City, UT (277 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

94.4% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	18	14	$3634.00	$197.35
27130 Replacement of thigh bone and hip joint with prosthesis	14	13	$3393.00	$196.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	173	81	$10.00	$6.65
99213 Established patient office or other outpatient visit, typically 15 minutes	105	84	$102.00	$65.52
20610 Aspiration and/or injection of fluid from large joint	103	49	$150.00	$50.84
73560 X-ray of knee, 1-2 views	47	29	$61.00	$27.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$161.00	$99.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	20	$75.00	$39.54
20552 Injections of trigger points in 1 or 2 muscles	31	24	$110.00	$46.16
20600 Aspiration and/or injection of fluid from small joint	30	12	$102.00	$34.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$152.00	$91.26
20605 Aspiration and/or injection of medium joint or joint capsule	16	13	$132.00	$41.11
73030 X-ray of shoulder, minimum of 2 views	16	14	$55.31	$24.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	150	57	$150.00	$51.88
J1040 Injection, methylprednisolone acetate, 80 mg	131	75	$15.00	$10.43
99213 Established patient office or other outpatient visit, typically 15 minutes	112	80	$102.00	$67.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$161.00	$98.95
73560 X-ray of knee, 1-2 views	53	29	$57.04	$26.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	39	$152.00	$97.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$75.00	$38.57
J1030 Injection, methylprednisolone acetate, 40 mg	31	19	$10.00	$6.26
20552 Injections of trigger points in 1 or 2 muscles	29	24	$110.00	$47.44
73030 X-ray of shoulder, minimum of 2 views	19	16	$57.68	$25.40
20550 Injection into tendon or ligament	16	14	$119.00	$44.60

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License UT 921804321204

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Matthew Bitner , MD

Orthopaedic Surgery

NPI 1467563866

Doctor of Medicine (M.D.)

Catherine Mihlfeith , PA-C

Physician Assistant

NPI 1609163658

Physician Assistant (Certified)

Daniel Bitner , PA-C

Physician Assistant

NPI 1881118990

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 12, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2008

Registered at 990 MEDICAL DR, SUITE G5, BRIGHAM CITY, UT 843024713 (Tel: 4357342151)

📍

Updated Business Mailing Address June 12, 2008

Registered at 990 MEDICAL DR, SUITE G5, BRIGHAM CITY, UT 843024713 (Tel: 4357342151)

👤

Provider Name / Credentials Updated June 12, 2008

Recorded as MICHAEL SUMKO, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2008

Orthopaedic Surgery (License #921804321204 in UT)

🟢

Initial NPI Registration & Enumeration August 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: 1609987270

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: June 12, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

990 Medical Dr, Suite G5

Brigham City, UT 843024713

Phone: 4357342151

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.