Dr. Michael Gary Sugarman , MD
Specialist • Newark, DE
774 Christiana Rd, Suite 202
Newark, DE 197134236
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 15, 2005; this date does not establish years in practice.
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Published CMS data list 817 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99215 — Established patient outpatient office visit: 215 service units.
- 99205 — New patient outpatient office visit: 187 service units.
- 22614 — Fusion of additional segment of spine: 57 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 43 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin — 43 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Specialist in Newark, DE (2024, 22 clinicians with data). Median for this group: 1,090. Middle half: 253 to 5,375.
Close to the middle for Medicare Part B services among clinicians listed under Specialist in Delaware (2024, 29 clinicians with data). Median for this group: 1,065. Middle half: 336 to 3,420.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 702 in 2020 to 817 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
774 Christiana Rd
Suite 202
Newark, DE 197134236
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Agape Physical Therapy And Sports Rehabilitation Lp; Delaware Neurosurgical Group, Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
George Washington University School Of Medicine
1984
What Public CMS Data Show
Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
360 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $235,555 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $182,853 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
50 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$736 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $22.96 in 2021
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2021.
Years since graduation
42 years (graduated 1984)
CMS Doctors and Clinicians data list 1984 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sugarman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sugarman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Newark and Delaware
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Specialist in Newark, DE (2024, 22 clinicians with data). Median for this group: 1,090. Middle half: 253 to 5,375.
Close to the middle for clinicians listed under Specialist in Delaware (2024, 29 clinicians with data). Median for this group: 1,065. Middle half: 336 to 3,420.
Medicare-allowed amount
Close to the middle for clinicians listed under Specialist in Newark, DE (2024, 22 clinicians with data). Median for this group: $225,035. Middle half: $23,813 to $259,397.
Close to the middle for clinicians listed under Specialist in Delaware (2024, 29 clinicians with data). Median for this group: $214,515. Middle half: $33,875 to $261,723.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Specialist in Newark, DE (2024, 22 clinicians with data). Median for this group: $169,864. Middle half: $17,724 to $203,278.
A higher Medicare payment amount than 60% of clinicians listed under Specialist in Delaware (2024, 29 clinicians with data). Median for this group: $157,289. Middle half: $21,824 to $208,705.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under Specialist in Newark, DE (2024, 21 clinicians with data). Median for this group: 357. Middle half: 51 to 896.
Fewer Part D prescriptions than 75% of clinicians listed under Specialist in Delaware (2024, 29 clinicians with data). Median for this group: 216. Middle half: 51 to 1,080.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Specialist in Newark, DE (2024, 21 clinicians with data). Median for this group: $13,355. Middle half: $736 to $101,902.
A lower Part D drug cost than 75% of clinicians listed under Specialist in Delaware (2024, 29 clinicians with data). Median for this group: $13,355. Middle half: $736 to $144,437.
43 active clinicians are listed under Specialist with a practice address in Newark, DE (134 in Delaware).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Newark
7% of these 43 clinicians have the CMS telehealth indicator.
48.8% of these 43 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 16% from 702 in 2020 to 817 in 2024.
- 2020: 702
- 2021: 709
- 2022: 718
- 2023: 700
- 2024: 817
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Medicare-allowed amount
Medicare-allowed amount decreased 10% from $261,733 in 2020 to $235,555 in 2024.
- 2020: $261,733
- 2021: $255,945
- 2022: $232,956
- 2023: $210,908
- 2024: $235,555
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Paid by Medicare
Paid by Medicare decreased 12% from $206,949 in 2020 to $182,853 in 2024.
- 2020: $206,949
- 2021: $202,876
- 2022: $181,945
- 2023: $164,637
- 2024: $182,853
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 15 in 2019 to 43 in 2024.
- 2019: 15
- 2021: 22
- 2022: 31
- 2023: 31
- 2024: 43
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30-day fills
30-day fills increased 113% from 24 in 2019 to 50 in 2024.
- 2019: 24
- 2021: 34
- 2022: 38
- 2023: 44
- 2024: 50
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Part D drug cost
Part D drug cost went from $673 in 2019 to $736 in 2024.
- 2019: $673
- 2021: $708
- 2022: $1,140
- 2023: $455
- 2024: $736
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $119.04 in 2019 to $22.96 in 2021.
- 2019: $119.04
- 2021: $22.96
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $22.96.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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SYMPHONY | General | $22.96 |
Source: CMS Open Payments, program year 2021, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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215 | 157 | $920.45 | $170.56 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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187 | 187 | $1419.06 | $208.02 |
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22614
Fusion of additional segment of spine
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57 | 21 | $2507.68 | $368.56 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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46 | 25 | $1415.55 | $242.06 |
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77012
Review by radiologist of ct guidance for needle placement
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39 | 38 | $850.00 | $65.15 |
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61783
Computer-assisted spinal procedure
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33 | 31 | $1438.60 | $218.33 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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33 | 33 | $1111.14 | $123.74 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
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27 | 11 | $3141.26 | $198.68 |
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72148
Mri scan of lower spinal canal without contrast
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26 | 24 | $3419.70 | $186.56 |
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22633
Fusion of spine in lower back with partial removal of spine bone and disc
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22 | 22 | $11290.17 | $1722.38 |
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22634
Fusion of additional segment of spine with partial removal of spine bone and disc
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21 | 13 | $3442.46 | $454.46 |
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22842
Placement of stabilizing device to back, 3-6 spine bone segments
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21 | 20 | $8671.24 | $718.29 |
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62323
Injection of substance into lower spine canal using imaging guidance
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21 | 15 | $763.50 | $94.06 |
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63052
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
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16 | 16 | $3750.00 | $243.54 |
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20931
Graft of donor bone to spine
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15 | 15 | $670.07 | $103.85 |
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22551
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
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15 | 15 | $10341.67 | $1620.16 |
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22845
Placement of stabilizing device to front, 2-3 spine bone segments
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12 | 12 | $5053.75 | $683.73 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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11 | 11 | $674.28 | $121.94 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 43 | 1,448 | $735.61 | 15 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20110207000449
DE
7416909346
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Agape Physical Therapy And Sports Rehabilitation Lp
12 Newport Dr, Forest Hill, MD 210501758
Agape Physical Therapy And Sports Rehabilitation Lp
12 Newport Dr, Forest Hill, MD 210501758
Delaware Neurosurgical Group, Pa
774 Christiana Rd, Newark, DE 197134221
Phone: 3023667671
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Primary Care
Certified Registered Nurse Practitioner
Specialist
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Career & Practice History
NPI enumerated October 15, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Specialists in Newark
- Kieran Connolly
- Dr. Dennis Witmer, MD
- Dr. Christopher Saunders, MD
- Dr. Irfan Hisamuddin, MD
- Dr. Ashesh Modi, MD
- Dr. Lee Dresser, MD
Mailing Address
774 Christiana Rd, Suite 202
Newark, DE 197134236
Phone: 3023667671