Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael P Sumida, MD

Individual provider Surgery Physician · NPI 1609835115

Michael P Sumida, MD practises General Surgery in Athens, Tennessee. Graduated from University of Kentucky College of Medicine in 1994, 32 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
32
Trained at
University of Kentucky College of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

719 Cook Dr Ste 109
Athens, TN 37303-3495 Not confirmed with CMS for 16 years — call before visiting
Phone: (423) 745-2344
Fax: (423) 745-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD27304 (TN)

Record details

NPI number1609835115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2006
Last updated in NPPESMarch 1, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Colonoscopy 75 times · 73rd percentile
Upper gastrointestinal (GI) endoscopy for acid reflux 40 times · 60th percentile

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients188
Services billed 476 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Education $68 1 payment · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Starr Regional Medical Center Athens Hospital · Athens, TN

Colleagues at Advanced Diagnostic Imaging PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 529 clinicians in the practice; 12 are shown here.

Other providers in Athens